Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KATHRYN ANN RENTFRO MD
NPI 1194308023
Dermatology in Winston Salem, NC

Q: What is Kathryn Rentfro's NPI number?

The NPI number for Kathryn Rentfro is 1194308023. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Kathryn Rentfro's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Rentfro was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2021PECOS Enrolled

4618 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 716-3926(336) 716-9258 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Apr 29, 2021 (2 updates tracked since 2021).

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About Dr. Kathryn Ann Rentfro Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN ANN RENTFRO MD (NPI 1194308023) is an individual dermatology provider in Winston Salem, North Carolina, licensed in North Carolina (2026-03932) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1194308023

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. KATHRYN ANN RENTFROCredential: MD

Location Address4618 COUNTRY CLUB RDWinston Salem, NC 27104-3520

Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-2255

Phone(336) 716-3926

Fax(336) 716-9258

Sole ProprietorNo

Enumeration DateApril 29, 2021

Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ NPI 1194308023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NC · 2026-03932

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4618 COUNTRY CLUB RD, Winston Salem, NC 27104

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Secondary Practice Location 1

Location 11000 Asylum Ave Rm 1004Hartford, CT 06105-1701 · Phone (860) 714-4532 · Fax (860) 714-8275

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathryn Ann Rentfro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Rentfro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences

3.6 mi

Multi-Specialty

MEDICAL CENTER BLVD
Winston Salem, NC 27157

Reassigned Medicare billing, North Carolina enrollment
3,003 clinicians in this Medicare group

NPI 1003803032 (336) 716-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA COPELAND SIZEMORE PAC

Physician Assistant (Medical)