TAMARA ARLEEN REYNOLDS RD
NPI 1063719110
Dietitian, Registered in Ithaca, NY
About Tamara Arleen Reynolds Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMARA ARLEEN REYNOLDS RD (NPI 1063719110) is an individual dietitian, registered in Ithaca, New York, licensed in New York (006613) and active in the NPI registry since February 2011. She is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Tamara Arleen Reynolds Rd 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.
Medicare Billing Reassignment
Medicare enrollment records show Tamara Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sayre, PA 18840
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 798 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tamara Reynolds's NPI number?
The NPI number for Tamara Reynolds is 1063719110. It was assigned to this individual provider in the NPPES registry on February 24, 2011. The provider is also known as Tammy A Reynolds Rd.
Where is Tamara Reynolds located?
Tamara Reynolds practices at 1780 Hanshaw Rd, Ithaca, NY 14850. The listed phone number is (607) 257-5858.
What is Tamara Reynolds's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Tamara Reynolds enrolled in Medicare?
Yes. Tamara Reynolds 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 organization bills Medicare for Tamara Reynolds's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Reynolds reassigns Medicare benefits to Guthrie Medical Group, P.C. (Sayre, PA). The 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 Tamara Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tamara Reynolds accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tamara Reynolds 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.
When was this NPI record last updated?
The NPPES record for Tamara Reynolds was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tamara Arleen Reynolds, RD · NPI 1063719110
Dietitian, Registered provider in Ithaca, New York. Individual provider, active in the CMS NPPES registry since February 24, 2011.
## Identity
- **NPI:** 1063719110 (Entity type: Individual)
- **Enumerated:** February 24, 2011
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 006613 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1780 HANSHAW RD, Ithaca, NY 14850
- **Phone:** (607) 257-5858 · **Fax:** (607) 257-1718
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Guthrie Medical Group, P.C. (NPI 1245246644, Sayre, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** March 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063719110) · Data from the CMS NPPES public registry.