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DR. KEVIN VINCENT RETHMAN DDS
NPI 1346347234
Dentist - Oral and Maxillofacial Surgery in Prescott, AZ

Active since September 20, 2006Opted out of Medicare · through Dec 4, 2026
1747 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 778-5527(928) 778-5528 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Vincent Rethman Dds NPPES

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

DR. KEVIN VINCENT RETHMAN DDS (NPI 1346347234) is an individual oral and maxillofacial surgery provider in Prescott, Arizona, licensed in Arizona (3884) and active in the NPI registry since September 2006. He has opted out of Medicare through December 4, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346347234
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KEVIN VINCENT RETHMANCredential: DDS
Location Address1747 WILLOW CREEK RDPrescott, AZ 86301-1154
Mailing Address1747 Willow Creek RdPrescott, AZ 86301-1154 · (928) 778-5527 · Fax (928) 778-5528
Phone(928) 778-5527
Fax(928) 778-5528
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 25, 2007
✔ NPI 1346347234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · 3884
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1747 WILLOW CREEK RD, Prescott, AZ 86301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kevin Vincent Rethman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 4, 2014 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2014
Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Kevin Rethman's NPI number?

The NPI number for Kevin Rethman is 1346347234. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kevin Rethman located?

Kevin Rethman practices at 1747 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 778-5527.

What is Kevin Rethman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kevin Rethman enrolled in Medicare?

No. Kevin Rethman has opted out of Medicare through December 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kevin Rethman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Kevin Rethman 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 Kevin Rethman was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.