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DR. REYNOLD DREW DONOVAN D.D.S.
NPI 1154495653
Dentist in Port Angeles, WA

Active since November 17, 2006PECOS Enrolled
933 E 1ST ST, PORT ANGELES, WA 98362(360) 452-7891(360) 452-8087 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, Feb 3, 2025, Feb 17, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Reynold Drew Donovan D.d.s. NPPES

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

DR. REYNOLD DREW DONOVAN D.D.S. (NPI 1154495653) is an individual dentist in Port Angeles, Washington, licensed in Washington (DE60986364) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Port Angeles.

NPPES Registry Identity

NPI1154495653
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. REYNOLD DREW DONOVANCredential: D.D.S.
Location Address933 E 1ST STPort Angeles, WA 98362-4012
Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891 · Fax (360) 452-8087
Phone(360) 452-7891
Fax(360) 452-8087
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1154495653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60986364
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE60986364 (WA), 37412 (CA)
933 E 1ST ST, Port Angeles, WA 98362
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Secondary Practice Location 1

Location 1228 W 1st StPort Angeles, WA 98362-2639 · Phone (360) 406-5260 · Fax (360) 406-5275

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Reynold Drew Donovan D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Reynold Donovan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Olympic Healthcare Network
Same address
Federally Qualified Health Center (FQHC)
933 E 1ST ST
Port Angeles, WA 98362
  • Reassigned Medicare billing, Washington enrollment
  • 36 clinicians in this Medicare group
NPI 1568961969 (360) 452-7891

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

CONSTANCE ANN KELLY
Dental Hygienist
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
DR. ZACHARY BIBB DMD
Dentist (General Practice)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
KAITLIN ROSE RUBITSCHUN LMHC
Counselor (Mental Health)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
MS. MAXINE CERAOLO ARNP
Nurse Practitioner (Psychiatric/Mental Health)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
TY MATHEW BOE CDPT
Counselor (Addiction (Substance Use Disorder))
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-4432
MICHAEL WALKER
Student in an Organized Health Care Education/Training Program
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
JESSICA PETERSON CDPT
Counselor (Addiction (Substance Use Disorder))
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-4432
JON MICHIEL EYRE DDS
Dentist (General Practice)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 797-1037

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 Reynold Donovan's NPI number?

The NPI number for Reynold Donovan is 1154495653. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Reynold Donovan located?

Reynold Donovan practices at 933 E 1st St, Port Angeles, WA 98362. The listed phone number is (360) 452-7891.

What is Reynold Donovan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Reynold Donovan enrolled in Medicare?

Yes. Reynold Donovan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Reynold Donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reynold Donovan reassigns Medicare benefits to North Olympic Healthcare Network (Port Angeles, WA). 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 Reynold Donovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reynold Donovan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 10 other insurers list Reynold Donovan 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 Reynold Donovan was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.