Active NPI 1023179249 Individual Practitioner Male Practitioner

Dr. David A Ghaphery , MD

Surgery • Wheeling, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Ghaphery, MD is a certified Surgery practicing in Wheeling, WV. With approximately 38 years of clinical experience since graduating from West Virginia University School Of Medicine in 1988, Dr. Ghaphery delivers high-quality medical care to the local community at 601 NATIONAL ROAD.

Dr. Ghaphery accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 National Road

Wheeling, WV 26003

Telephone 3042323520

Fax 3042328391

Associated Practice Facility / Clinic

🏢 Ad Ghaphery Md Professional Association Facility NPI 1073699237

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wheeling, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +9.2 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Wheeling, WV (221 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghaphery (38 Years) 38 Yrs

Wheeling Specialty Average (28.8 Years) 28.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	122	$150.00	$62.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$175.00	$103.98
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$150.00	$84.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$175.00	$78.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$250.00	$124.56
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2200.00	$315.20
49650 Repair of groin hernia using an endoscope	15	15	$1400.00	$408.99
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	13	$1300.00	$140.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	121	$150.00	$63.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$175.00	$104.47
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$150.00	$84.36
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	27	$2200.00	$321.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$175.00	$80.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$250.00	$125.52
47562 Removal of gallbladder using an endoscope	13	13	$2200.00	$650.19
49650 Repair of groin hernia using an endoscope	11	11	$1463.64	$423.60
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$1300.00	$148.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	123	$150.00	$64.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$175.00	$106.40
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$150.00	$85.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$175.00	$81.65
47562 Removal of gallbladder using an endoscope	19	19	$2200.00	$633.07
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$2200.00	$327.17
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1300.00	$146.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	128	$145.77	$66.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$175.00	$107.31
99213 Established patient office or other outpatient visit, typically 15 minutes	44	38	$143.86	$86.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$175.00	$82.16
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$2200.00	$332.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$250.00	$132.18
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	13	$1300.00	$149.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	111	$117.97	$50.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$171.71	$102.58
99213 Established patient office or other outpatient visit, typically 15 minutes	52	45	$116.92	$71.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	16	$115.00	$71.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$172.32	$74.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$250.00	$136.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2200.00	$342.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	129	$110.00	$48.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$159.14	$97.90
99213 Established patient office or other outpatient visit, typically 15 minutes	61	50	$110.82	$67.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$159.33	$72.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	12	$115.00	$68.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$250.00	$129.55
19081 Biopsy of breast accessed through the skin with stereotactic guidance	19	19	$550.00	$164.28
47562 Removal of gallbladder using an endoscope	18	18	$2200.00	$649.57
19302 Partial removal of breast and underarm lymph nodes	15	15	$2400.00	$853.69
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	14	$1207.14	$144.11
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2092.31	$329.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	119	$110.00	$47.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$155.00	$97.23
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$110.00	$65.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	14	$115.00	$67.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$155.00	$71.61
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1500.00	$324.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$250.00	$127.17
19081 Biopsy of breast accessed through the skin with stereotactic guidance	13	13	$550.00	$160.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	111	$110.00	$46.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$155.00	$94.75
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$110.00	$63.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	15	$95.00	$65.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$155.00	$70.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$250.00	$124.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1500.00	$319.32
47562 Removal of gallbladder using an endoscope	13	13	$2200.00	$621.31
19125 Removal of breast growth, open procedure	11	11	$975.00	$426.25

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 16048

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0945937 (OH)

Medicaid State Provider ID

0125502000 (WV)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 26, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2008

Registered at 601 NATIONAL ROAD, WHEELING, WV 26003 (Tel: 3042323520)

📍

Updated Business Mailing Address March 26, 2008

Registered at 601 NATIONAL ROAD, WHEELING, WV 26003 (Tel: 3042323520)

👤

Provider Name / Credentials Updated March 26, 2008

Recorded as DAVID GHAPHERY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2008

Surgery (License #16048 in WV)

🟢

Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023179249

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 12, 2006

Last Update: March 26, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 National Road

Wheeling, WV 26003

Phone: 3042323520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.