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THOMAS M REINSVOLD MD
NPI 1154367332
Internal Medicine - Cardiovascular Disease in Mcalester, OK

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
84.86/100
CMS Quality Rating
4 E CLARK BASS BLVD, SUITE 204, MCALESTER, OK 74501(918) 422-6071(918) 421-6077 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas M Reinsvold Md NPPES

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

THOMAS M REINSVOLD MD (NPI 1154367332) is an individual cardiovascular disease provider in Mcalester, Oklahoma, licensed in Oklahoma (20011) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1986).

NPPES Registry Identity

NPI1154367332
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHOMAS M REINSVOLDCredential: MD
Location Address4 E CLARK BASS BLVD, SUITE 204Mcalester, OK 74501-4269
Mailing Address114 Westfield LoopLufkin, TX 75904-7212 · (417) 437-7683
Phone(918) 422-6071
Fax(918) 421-6077
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1986
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 6, 2017
✔ NPI 1154367332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in OK · 20011✔ Licensed in TX · P4999✔ Licensed in MO · 109396
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4 E CLARK BASS BLVD, Mcalester, OK 74501
Open in Google Maps ↗

Other Identifiers 7

Other060035200Rr Medicare
Medicaid100187310AKS
Medicaid208175406MO
Medicare UPINE58170
Medicaid100214510AOK
Other11496MO · Anthem
Medicare PIN000007553MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas M Reinsvold 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.

PECOS PAC ID8820060650
PECOS Enrollment IDI20100823000846
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.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
330 services159 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
155 services121 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
40 services38 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
29 services14 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
28 services14 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74501 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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.

84.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.19
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
26%78 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%96 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%370 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%123 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%170 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
46%201 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%200 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
2%129 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 122 patients
Patients tobacco: 3% · 36 patients
70%122 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%201 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%201 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%201 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

DR. KAMRON TORBATI M.D.
Obstetrics & Gynecology
4 E CLARK BASS BLVD, SUITE 301
MCALESTER, OK 74501
Pittsburg County (918) 421-6795
MCALESTER REGIONAL HEALTH CENTER
Urology
4 E CLARK BASS BLVD, SUITE 202
MCALESTER, OK 74501
Pittsburg County (918) 421-6090
MR. BENJAMIN AARON NICHOLAS CALVERT
Specialist/Technologist, Other (Electroneurodiagnostic)
4 E CLARK BASS BLVD, SUITE 205
MCALESTER, OK 74501
Pittsburg County (918) 421-8897
MCALESTER REGIONAL HEALTH CENTER
Urology
4 E CLARK BASS BLVD, SUITE 202
MCALESTER, OK 74501
Pittsburg County (918) 421-6846
MR. JONATHAN PAUL ROHLOFF
Family Medicine
4 E CLARK BASS BLVD, SUITE 300
MCALESTER, OK 74501
Pittsburg County (918) 421-6795
STANLEY R GAHRING MD PC
Urology
4 E CLARK BASS BLVD, STE 201
MCALESTER, OK 74501
Pittsburg County (918) 421-6690
JON M MCCAULEY, MD PC
Clinic/Center (Health Service)
4 E CLARK BASS BLVD, SUITE 203
MCALESTER, OK 74501
Pittsburg County (918) 423-8200
BRIAN DAVID PULLUM
Specialist/Technologist, Other (Electroneurodiagnostic)
4 E CLARK BASS BLVD, SUITE 205
MCALESTER, OK 74501
Pittsburg County (918) 421-8897

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 Thomas Reinsvold's NPI number?

The NPI number for Thomas Reinsvold is 1154367332. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Thomas Reinsvold located?

Thomas Reinsvold practices at 4 E Clark Bass Blvd Suite 204, Mcalester, OK 74501. The listed phone number is (918) 422-6071.

What is Thomas Reinsvold's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Reinsvold enrolled in Medicare?

Yes. Thomas Reinsvold 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.

What insurance does Thomas Reinsvold accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Thomas Reinsvold 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 Thomas Reinsvold was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.