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RUSTY LEE CAIN DPM
NPI 1811908270
Podiatrist - Foot Surgery in Fairmont, WV

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1228 COUNTRY CLUB RD, FAIRMONT, WV 26554(304) 363-3338(304) 363-3359 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2022, Jan 13, 2021, Oct 16, 2020 (3 updates tracked since 2020).

About Rusty Lee Cain Dpm NPPES

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

RUSTY LEE CAIN DPM (NPI 1811908270) is an individual foot surgery provider in Fairmont, West Virginia, licensed in West Virginia (00349) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Kent State University College Of Podiatric Medicine (1997).

NPPES Registry Identity

NPI1811908270
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameRUSTY LEE CAINCredential: DPM
Location Address1228 COUNTRY CLUB RDFairmont, WV 26554-2369
Mailing Address1228 Country Club RdFairmont, WV 26554-2369 · (304) 363-3338 · Fax (304) 363-3359
Phone(304) 363-3338
Fax(304) 363-3359
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1997
Enumeration DateAugust 11, 2006
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1811908270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in WV · 00349
1228 COUNTRY CLUB RD, Fairmont, WV 26554
Open in Google Maps ↗

Other Identifiers 1

Medicaid6420007001WV

Accepted Insurance

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

Rusty Lee Cain Dpm 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 ID2860542875
PECOS Enrollment IDI20090613000011
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 7

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.
372 services151 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
168 services58 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
70 services17 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.
60 services60 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
53 services23 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
51 services30 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

JAMES DAVID ABEL MD
Psychiatry & Neurology (Psychiatry)
1228 COUNTRY CLUB RD, SUITE 800
FAIRMONT, WV 26554
Marion County (304) 367-7100
PAMELA FISHER
Nurse Practitioner (Psychiatric/Mental Health)
1228 COUNTRY CLUB RD, SUITE 800
FAIRMONT, WV 26554
Marion County (304) 363-8844
RUSTY L. CAIN INC
Podiatrist (Foot Surgery)
1228 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 363-3338
JEFF CHARLES ERICKSON
Physical Therapist
1228 COUNTRY CLUB RD, SUITE 400
FAIRMONT, WV 26554
Marion County (304) 366-0461
RUSTY L. CAIN DPM
Podiatrist (Foot & Ankle Surgery)
1228 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 363-3338
ORTHONIKS PLLC
Orthopaedic Surgery
1228 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 368-5200
DAVID A CIAROLLA, MD, INC
Internal Medicine (Gastroenterology)
1228 COUNTRY CLUB RD, SUITE 300
FAIRMONT, WV 26554
Marion County (304) 363-7990
RICHARD ALAN SIMPSON MD
Internal Medicine
1228 COUNTRY CLUB RD, SUITE 100
FAIRMONT, WV 26554
Marion County (304) 367-7100

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 Rusty Cain's NPI number?

The NPI number for Rusty Cain is 1811908270. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Rusty Cain located?

Rusty Cain practices at 1228 Country Club Rd, Fairmont, WV 26554. The listed phone number is (304) 363-3338.

What is Rusty Cain's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Rusty Cain enrolled in Medicare?

Yes. Rusty Cain 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 Rusty Cain accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Rusty Cain 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 Rusty Cain affiliated with any hospitals?

According to CMS data, Rusty Cain is affiliated with West Virginia University Hospitals, Inc and United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Rusty Cain was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.