NATHANIEL LEWIS RAINEY PA-C
NPI 1376150755
Physician Assistant in Dunbar, WV

Active since September 29, 2020PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1100 GROSSCUP AVE, DUNBAR, WV 25064(304) 768-8811(304) 768-4072 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2025, Jul 5, 2025, Sep 29, 2020 (3 updates tracked since 2020).

About Nathaniel Lewis Rainey Pa-c NPPES

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

NATHANIEL LEWIS RAINEY PA-C (NPI 1376150755) is an individual physician assistant in Dunbar, West Virginia, licensed in West Virginia (2452) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Hurricane.

NPPES Registry Identity

NPI1376150755
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHANIEL LEWIS RAINEYCredential: PA-C
Location Address1100 GROSSCUP AVEDunbar, WV 25064-3120
Mailing Address1100 Grosscup AveDunbar, WV 25064-3120 · (304) 768-8811 · Fax (304) 768-4072
Fax(304) 768-4072
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2020
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1376150755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 2452
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1100 GROSSCUP AVE, Dunbar, WV 25064

Secondary Practice Location 1

Location 13752 Teays Valley RdHurricane, WV 25526-9553 · Phone (304) 757-3131 · Fax (304) 760-6173

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Lewis Rainey Pa-c 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 ID3274947502
PECOS Enrollment IDI20210128001290
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25064 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
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
1100 GROSSCUP AVE
DUNBAR, WV 25064
Internal Medicine
1100 GROSSCUP AVE
DUNBAR, WV 25064
Nurse Practitioner (Family)
1100 GROSSCUP AVE
DUNBAR, WV 25064
Internal Medicine
1100 GROSSCUP AVE
DUNBAR, WV 25064
Family Medicine
1100 GROSSCUP AVE
DUNBAR, WV 25064
Nurse Practitioner (Gerontology)
1100 GROSSCUP AVE
DUNBAR, WV 25064
Family Medicine
1100 GROSSCUP AVE
DUNBAR, WV 25064
Clinical Medical Laboratory
1100 GROSSCUP AVE
DUNBAR, WV 25064

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 Nathaniel Rainey's NPI number?

The NPI number for Nathaniel Rainey is 1376150755. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Nathaniel Rainey located?

Nathaniel Rainey practices at 1100 Grosscup Ave, Dunbar, WV 25064. The listed phone number is (304) 768-8811.

What is Nathaniel Rainey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nathaniel Rainey enrolled in Medicare?

Yes. Nathaniel Rainey 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.

What insurance does Nathaniel Rainey accept?

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

According to CMS data, Nathaniel Rainey is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Rainey was last updated on December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.