DR. KACIE MARIE KIDD MD
NPI 1255743035
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since May 28, 2014PECOS EnrolledAccepts Medicare Assignment
3420 FIFTH AVENUE, OAKLAND MEDICAL BUILDING, PITTSBURGH, PA 15213(412) 692-6677 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2022, Mar 30, 2018 (2 updates tracked since 2018).

About Dr. Kacie Marie Kidd Md NPPES

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

DR. KACIE MARIE KIDD MD (NPI 1255743035) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2014).

NPPES Registry Identity

NPI1255743035
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KACIE MARIE KIDDCredential: MD
Location Address3420 FIFTH AVENUE, OAKLAND MEDICAL BUILDINGPittsburgh, PA 15213
Mailing Address3600 Forbes Avenue, Forbes Tower-plaza Level Suite 140Pittsburgh, PA 12513 · (304) 293-1224 · Fax (304) 293-1216
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2014
Enumeration DateMay 28, 2014
Last NPPES UpdateApril 13, 20222 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1255743035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3420 FIFTH AVENUE, Pittsburgh, PA 15213

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

Dr. Kacie Marie Kidd Md 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.

PECOS PAC ID2163725771
PECOS Enrollment IDI20210715000826
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 Kacie Kidd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
2608 CRANBERRY SQUARE
Morgantown, WV 26508
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 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.

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
3420 FIFTH AVENUE
PITTSBURGH, PA 15213
Pediatrics
3420 FIFTH AVENUE
PITTSBURGH, PA 15213
Psychologist
3420 FIFTH AVENUE
PITTSBURGH, PA 15213
Psychologist
3420 FIFTH AVENUE, ROOM 236
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3420 FIFTH AVENUE
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3420 FIFTH AVENUE
PITTSBURGH, PA 15213
Pediatrics
3420 FIFTH AVENUE
PITTSBURG, PA 15213
Student in an Organized Health Care Education/Training Program
3420 FIFTH AVENUE
PITTSBURGH, PA 15213

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 Kacie Kidd's NPI number?

The NPI number for Kacie Kidd is 1255743035. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Kacie Kidd located?

Kacie Kidd practices at 3420 Fifth Avenue Oakland Medical Building, Pittsburgh, PA 15213. The listed phone number is (412) 692-6677.

What is Kacie Kidd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kacie Kidd enrolled in Medicare?

Yes. Kacie Kidd 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 organization bills Medicare for Kacie Kidd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kacie Kidd reassigns Medicare benefits to Wvu Med Corp Cheat Lake Physicians (Morgantown, WV). The 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 Kacie Kidd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kacie Kidd accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kacie Kidd 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.

When was this NPI record last updated?

The NPPES record for Kacie Kidd was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.