KIMETHA KAYE FAIRCHILD M.D.
NPI 1205098266
Family Medicine in Columbia, MO
About Kimetha Kaye Fairchild M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMETHA KAYE FAIRCHILD M.D. (NPI 1205098266) is an individual family medicine provider in Columbia, Missouri, licensed in Missouri (2011029721) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimetha Kaye Fairchild M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kimetha Fairchild reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sedalia, MO 65301
- Reassigned Medicare billing, Missouri enrollment
- 196 clinicians in this Medicare group
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bothwell Regional Health Center
Acute Care Hospitals · Sedalia, MOGolden Valley Memorial Hospital
Acute Care Hospitals · Clinton, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimetha Fairchild's NPI number?
The NPI number for Kimetha Fairchild is 1205098266. It was assigned to this individual provider in the NPPES registry on June 30, 2008.
Where is Kimetha Fairchild located?
Kimetha Fairchild practices at 1 Hospital Dr, Columbia, MO 65201. The listed phone number is (573) 888-3308.
What is Kimetha Fairchild's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kimetha Fairchild enrolled in Medicare?
Yes. Kimetha Fairchild is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimetha Fairchild's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimetha Fairchild reassigns Medicare benefits to 2 organizations: Bothwell Regional Health Center (Sedalia, MO) and Sapphire At Gresham Rehab, LLC (Gresham, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimetha Fairchild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimetha Fairchild accept?
Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Kimetha Fairchild as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kimetha Fairchild affiliated with any hospitals?
According to CMS data, Kimetha Fairchild is affiliated with Bothwell Regional Health Center and Golden Valley Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kimetha Fairchild was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Kimetha Kaye Fairchild, M.D. · NPI 1205098266
Family Medicine physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since June 30, 2008.
## Identity
- **NPI:** 1205098266 (Entity type: Individual)
- **Enumerated:** June 30, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2011029721 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 HOSPITAL DR, Columbia, MO 65201-5276
- **Phone:** (573) 888-3308 · **Fax:** (573) 884-4808
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bothwell Regional Health Center (NPI 1659632016, Sedalia, MO); Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** November 4, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1205098266) · Data from the CMS NPPES public registry.