REO MALACHI PENISTON M.D.
NPI 1093974511
Family Medicine in Groveland, FL

Q: What is Reo Peniston's NPI number?

The NPI number for Reo Peniston is 1093974511. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Q: What is Reo Peniston's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Reo Peniston was last updated on January 26, 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.

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment

1296 W BROAD ST, GROVELAND, FL 34736(407) 905-8827(352) 429-5606 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2021, Dec 2, 2020, Feb 15, 2017 (3 updates tracked since 2017).

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About Reo Malachi Peniston M.d. NPPES

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

REO MALACHI PENISTON M.D. (NPI 1093974511) is an individual family medicine provider in Groveland, Florida, licensed in New York (264985-1) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093974511

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameREO MALACHI PENISTONCredential: M.D.

Location Address1296 W BROAD STGroveland, FL 34736-2012

Mailing Address110 S Woodland StWinter Garden, FL 34787-3546 · (407) 905-8827 · Fax (407) 905-8998

Phone(407) 905-8827

Fax(352) 429-5606

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 9, 2008

Last NPPES UpdateJanuary 26, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2021

✔ NPI 1093974511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 264985-1

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1296 W BROAD ST, Groveland, FL 34736

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Other Identifiers 1

Medicaid108872000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Reo Malachi Peniston 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 ID1557439163

PECOS Enrollment IDI20081009000546, I20201207001984

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

Medicare enrollment records show Reo Peniston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Centers, Inc

Same address

Primary Care

1296 W BROAD ST
Groveland, FL 34736

Reassigned Medicare billing, Florida enrollment
126 clinicians in this Medicare group

NPI 1255415535 (407) 905-8827

Sun River Health Inc

959 mi

Adult Day Care

1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452

Reassigned Medicare billing, New York enrollment
683 clinicians in this Medicare group

NPI 1740763275 (855) 681-8700

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

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

59 services34 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34736 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers19 claims54 services$5.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

JANICE DARDEN KRIVAN ARNP

Nurse Practitioner (Pediatrics)