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RODOLFO REYES M.D.
NPI 1023470259
Internal Medicine in Delray Beach, FL

Active since March 26, 2016PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
601 N CONGRESS AVE STE 403, DELRAY BEACH, FL 33445(561) 272-1618(561) 272-2880 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2022, May 16, 2022, Apr 18, 2022 and 5 more (8 updates tracked since 2016).

About Rodolfo Reyes M.d. NPPES

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

RODOLFO REYES M.D. (NPI 1023470259) is an individual internal medicine provider in Delray Beach, Florida, licensed in Florida (144540) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Pikeville.

NPPES Registry Identity

NPI1023470259
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRODOLFO REYESCredential: M.D.
Location Address601 N CONGRESS AVE STE 403Delray Beach, FL 33445-4639
Mailing Address6101 Blue Lagoon Dr Ste 400Miami, FL 33126-2051 · (305) 500-2000
Phone(561) 272-1618
Fax(561) 272-2880
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 26, 2016
Last NPPES UpdateJuly 22, 20228 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1023470259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · 144540✔ Licensed in KY · COVID-19✔ Licensed in KY · 56933✔ Licensed in MA · 278650
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
601 N CONGRESS AVE STE 403, Delray Beach, FL 33445
Open in Google Maps ↗

Secondary Practice Location 1

Location 1911 Bypass Rd Bldg APikeville, KY 41501-1689 · Phone (606) 430-3500 · Fax (606) 218-4697

Other Identifiers 1

Other144540FL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rodolfo Reyes M.d. 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 ID8325333149
PECOS Enrollment IDI20220512002412
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rodolfo Reyes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Florida Hospitalists Inc
3.0 mi
Hospitalist
5352 LINTON BLVD
Delray Beach, FL 33484
  • Reassigned Medicare billing, Florida enrollment
  • 140 clinicians in this Medicare group
NPI 1013036219 (561) 498-4440
Pikeville Medical Center Inc.
751 mi
Clinic/Center
148 SUITE A, WHITESBURG PLAZA
Whitesburg, KY 41858
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1801106281 (606) 218-3500
Baptist Health Medical Group Inc
832 mi
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1093338527 (Kentucky)
  • 999 clinicians in this Medicare group
NPI 1255805586 (859) 260-5370

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
530 services165 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
123 services120 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33445 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Other Providers at the Same Location NPPES

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

DJENANE ELSA IMBERT ARNP
Nurse Practitioner (Family)
601 N CONGRESS AVE STE 403
DELRAY BEACH, FL 33445
Palm Beach County (561) 272-1618

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 Rodolfo Reyes's NPI number?

The NPI number for Rodolfo Reyes is 1023470259. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Rodolfo Reyes located?

Rodolfo Reyes practices at 601 N Congress Ave Ste 403, Delray Beach, FL 33445. The listed phone number is (561) 272-1618.

What is Rodolfo Reyes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rodolfo Reyes enrolled in Medicare?

Yes. Rodolfo Reyes 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.

Which organizations bill Medicare for Rodolfo Reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodolfo Reyes reassigns Medicare benefits to 3 organizations: Northeast Florida Hospitalists Inc (Delray Beach, FL), Pikeville Medical Center Inc. (Whitesburg, KY) and Baptist Health Medical Group Inc (Nicholasville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodolfo Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodolfo Reyes accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Rodolfo Reyes 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 Rodolfo Reyes affiliated with any hospitals?

According to CMS data, Rodolfo Reyes is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Rodolfo Reyes was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.