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CARMEN R REXRODE MD
NPI 1245204015
Family Medicine in Franklin, WV

Active since February 16, 2006PECOS Enrolled
314 PINE STREET, FRANKLIN, WV 26807(304) 358-2355 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carmen R Rexrode Md NPPES

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

CARMEN R REXRODE MD (NPI 1245204015) is an individual family medicine provider in Franklin, West Virginia, licensed in West Virginia (16860) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of West Virginia University School Of Medicine (1988).

NPPES Registry Identity

NPI1245204015
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARMEN R REXRODECredential: MD
Location Address314 PINE STREETFranklin, WV 26807
Mailing AddressPo Box 100Franklin, WV 26807-0100 · (304) 358-2355 · Fax (304) 358-3054
Phone(304) 358-2355
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1988
Enumeration DateFebruary 16, 2006
Last NPPES UpdateMarch 17, 2014
✔ NPI 1245204015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 16860
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
314 PINE STREET, Franklin, WV 26807
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Other Identifiers 6

Medicare PIN2030152WV
Other001718817WV · Ms Bcbs
Medicare UPINE12230
Medicaid0053317000WV
Medicare PIN2030151WV
Medicare PINWV3619C551WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen R Rexrode Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799862322
PECOS Enrollment IDI20080408000038
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
14 services14 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
14 services11 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26807 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
100%1,309 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
52%422 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers20 claims47 services$5.16 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$17.01 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$5.93 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier11 claims22 services$3.62 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.07 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier11 claims22 services$3.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MALINDA M MILLER LICSW
Social Worker (Clinical)
314 PINE STREET
FRANKLIN, WV 26807
Pendleton County (304) 358-2355
DR. SAMUEL GETZ SHOWALTER MD
General Practice
314 PINE STREET
FRANKLIN, WV 26807
Pendleton County (304) 358-2355
JENNIFER TAYLOR-IDE LPC
Counselor (Professional)
314 PINE STREET, PENDELTON COMMUNITY CARE
FRANKLIN, WV 26807
Pendleton County (304) 358-2355
MARY ELLEN WIMER NP
Nurse Practitioner (Adult Health)
314 PINE STREET
FRANKLIN, WV 26807
Pendleton County (304) 358-2355
PENDLETON COMMUNITY CARE, INC
Case Management
314 PINE STREET
FRANKLIN, WV 26807
Pendleton County (304) 358-2355
CARA WILSON MPAS, PA-C
Physician Assistant
314 PINE STREET
FRANKLIN, WV 26807
Pendleton County (304) 358-2355
LYNN LEWIS MSW
Social Worker (Clinical)
314 PINE STREET, PENDLETON COMMUNITY CARE
FRANKLIN, WV 26807
Pendleton County (304) 358-2355
DR. LAURA LEA NULPH M.D.
Family Medicine
314 PINE STREET
FRANKLIN, WV 26807
Pendleton County (304) 358-2355

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 Carmen Rexrode's NPI number?

The NPI number for Carmen Rexrode is 1245204015. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Carmen Rexrode located?

Carmen Rexrode practices at 314 Pine Street, Franklin, WV 26807. The listed phone number is (304) 358-2355.

What is Carmen Rexrode's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carmen Rexrode enrolled in Medicare?

Yes. Carmen Rexrode is registered in the Medicare PECOS enrollment system.

What insurance does Carmen Rexrode accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Carmen Rexrode 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 Carmen Rexrode affiliated with any hospitals?

According to CMS data, Carmen Rexrode is affiliated with Sentara Rmh Medical Center and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Rexrode was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.