Active NPI
Jean Rettos, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Lewisburg, WV
National Provider Identifier
1285765461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 4480
- Practice address
- 1464 Jefferson St N
Lewisburg, WV 24901-1380 - Phone
- (304) 645-3220
- Fax
- (844) 479-4545
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 4480 | WV | Primary |
| Family Medicine Physician | 207Q00000X | 34008849 | OH |
Addresses
Primary practice location
1464 Jefferson St N
Lewisburg, WV 24901-1380
Mailing address
1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250410000131 | WV | Practitioner - Family Practice | 2769581420 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia School of Osteopathic Medicine Clinic Inc
Practice addresses (Care Compare)
1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008849 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia School of Osteopathic Medicine Clinic Inc | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| West Virginia School of Osteopathic Medicine Clinic Inc D/B/a Robert C. Byrd Clinic | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1464 Jefferson St N
Lewisburg, WV 24901
Phone (304) 647-5577
Interoperability endpoints
- jean.rettos.1@17660.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Lewisburg, WV
- NPI 1013496991
Neuromusculoskeletal Medicine & Omm, WV
-
- Family Medicine Physician
- Lewisburg, WV
- NPI 1871539296
Family Medicine, WV
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1285765461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 JEFFERSON ST N",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011380",
"telephone_number": "304-645-3220",
"fax_number": "844-479-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1464 JEFFERSON ST N",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011380",
"telephone_number": "304-645-3220",
"fax_number": "844-479-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETTOS",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WV",
"license": "4480",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34008849",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.