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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLYN RAYNE REXROAD OD
NPI 1821899170
Optometrist in Fairmont, WV

Active since March 22, 2025PECOS Enrolled
709 MORGANTOWN AVE, FAIRMONT, WV 26554(304) 366-4721(304) 366-4847 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 12, 2026, Jul 1, 2025, Mar 22, 2025 (3 updates tracked since 2025).

About Kaitlyn Rayne Rexroad Od NPPES

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

KAITLYN RAYNE REXROAD OD (NPI 1821899170) is an individual optometrist in Fairmont, West Virginia, licensed in West Virginia (3054-IOD) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821899170
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAITLYN RAYNE REXROADCredential: OD
Location Address709 MORGANTOWN AVEFairmont, WV 26554-4331
Mailing Address709 Morgantown AveFairmont, WV 26554-4331 · (304) 366-4721 · Fax (304) 366-4847
Phone(304) 366-4721
Fax(304) 366-4847
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 22, 2025
Last NPPES UpdateSeptember 12, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1821899170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WV · 3054-IOD
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
709 MORGANTOWN AVE, Fairmont, WV 26554
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Rayne Rexroad Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739644733
PECOS Enrollment IDI20260721001088
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 3

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

FAIRMONT EYE CARE INC
Optometrist
709 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-4721
DR. MARTIN WAYNE CARPENTER O.D.
Optometrist
709 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-4721
DR. PHILIP MARC WILMOTH OD
Optometrist
709 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-4721

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 Kaitlyn Rexroad's NPI number?

The NPI number for Kaitlyn Rexroad is 1821899170. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is Kaitlyn Rexroad located?

Kaitlyn Rexroad practices at 709 Morgantown Ave, Fairmont, WV 26554. The listed phone number is (304) 366-4721.

What is Kaitlyn Rexroad's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kaitlyn Rexroad enrolled in Medicare?

Yes. Kaitlyn Rexroad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Rexroad was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.