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CRISANTO M REYES M.D.
NPI 1154461978
Internal Medicine in Milford, IL

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
34 E JONES ST, MILFORD, IL 60953(815) 889-4241 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Aug 22, 2023, Oct 13, 2020 (3 updates tracked since 2020).

About Crisanto M Reyes M.d. NPPES

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

CRISANTO M REYES M.D. (NPI 1154461978) is an individual internal medicine provider in Milford, Illinois, licensed in Illinois (036-078546) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1154461978
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCRISANTO M REYESCredential: M.D.
Location Address34 E JONES STMilford, IL 60953-1046
Mailing Address34 E Jones StMilford, IL 60953-1046 · (815) 889-4241 · Fax (815) 889-4244
Phone(815) 889-4241
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateFebruary 8, 2007
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1154461978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-078546
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.
34 E JONES ST, Milford, IL 60953
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1720 S Crescent St Ste BGilman, IL 60938-1518 · Phone (815) 265-8889
Location 2303 N 7th StKentland, IN 47951-1379 · Phone (219) 474-5464
Location 3200 E Fairman AveWatseka, IL 60970-1644 · Phone (815) 432-5411
Location 4135 W Station StSaint Anne, IL 60964-7251 · Phone (815) 427-1324

Other Identifiers 3

Medicaid36078546IL
Medicaid01040271AIN
Medicaid100377000AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Crisanto M 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 ID840269759
PECOS Enrollment IDI20041222000010
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.

Hospital Affiliations CMS Care Compare 4

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Iroquois Memorial Hospital

Critical Access Hospitals · Watseka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141353
Location200 Fairman StreetWatseka, IL 60970 · Iroquois County
Emergency services

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151324
Location1104 E Grace StRensselaer, IN 47978 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60953 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
42%1,102 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
67%839 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
21%287 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
37%287 patients3/55-star benchmark: 91%
e-Prescribing
98%1,279 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
50%2,137 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%2,896 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
78%1,309 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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 suppliers27 claims75 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims27 services$1.20 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers14 claims14 services$36.94 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers12 claims24 services$1.48 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers15 claims15 services$98.26 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers18 claims43 services$39.24 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 2

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

IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Clinic/Center (Rural Health)
34 E JONES ST
MILFORD, IL 60953
Iroquois County (815) 889-4241
SUSAN ANN HANSON NP
Nurse Practitioner (Family)
34 E JONES ST
MILFORD, IL 60953
Iroquois County (815) 889-4241

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 Crisanto Reyes's NPI number?

The NPI number for Crisanto Reyes is 1154461978. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Crisanto Reyes located?

Crisanto Reyes practices at 34 E Jones St, Milford, IL 60953. The listed phone number is (815) 889-4241.

What is Crisanto Reyes's specialty?

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

Is Crisanto Reyes enrolled in Medicare?

Yes. Crisanto 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.

What insurance does Crisanto Reyes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Crisanto 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 Crisanto Reyes affiliated with any hospitals?

According to CMS data, Crisanto Reyes is affiliated with Riverside Medical Center, Iroquois Memorial Hospital, Franciscan Health Lafayette and Franciscan Health Rensselaer, Inc.

When was this NPI record last updated?

The NPPES record for Crisanto Reyes was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.