SAM DAVID REYNOLDS MD
NPI 1114905304
Family Medicine in Wexford, PA
About Sam David Reynolds Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM DAVID REYNOLDS MD (NPI 1114905304) is an individual family medicine provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD071994L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
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
Sam David Reynolds Md 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 Sam Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wexford, PA 15090
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allegheny General Hospital
Acute Care Hospitals · Pittsburgh, PAAhn Wexford Hospital
Acute Care Hospitals · Wexford, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15090 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WEXFORD, PA 15090
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 Sam Reynolds's NPI number?
The NPI number for Sam Reynolds is 1114905304. It was assigned to this individual provider in the NPPES registry on January 6, 2006.
Where is Sam Reynolds located?
Sam Reynolds practices at 12311 Perry Hwy, Wexford, PA 15090. The listed phone number is (878) 332-4159.
What is Sam Reynolds's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sam Reynolds enrolled in Medicare?
Yes. Sam 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 Sam Reynolds's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Reynolds reassigns Medicare benefits to Allegheny Clinic (Wexford, 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 Sam Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sam Reynolds affiliated with any hospitals?
According to CMS data, Sam Reynolds is affiliated with Allegheny General Hospital and Ahn Wexford Hospital.
When was this NPI record last updated?
The NPPES record for Sam Reynolds was last updated on June 24, 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.
# Sam David Reynolds, MD · NPI 1114905304
Family Medicine physician in Wexford, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 6, 2006.
## Identity
- **NPI:** 1114905304 (Entity type: Individual)
- **Enumerated:** January 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD071994L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 12311 PERRY HWY, Wexford, PA 15090-8344
- **Phone:** (878) 332-4159 · **Fax:** (878) 332-4479
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Allegheny Clinic (NPI 1245639749, Wexford, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 1998
## Record status
- **NPPES last updated:** June 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114905304) · Data from the CMS NPPES public registry.