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JAMES MICHAEL REIDY D.O.
NPI 1174551014
Otolaryngology - Plastic Surgery within the Head & Neck in Gilbert, AZ

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2680 S VAL VISTA DR, BLDG 13, UNIT 175, GILBERT, AZ 85295(480) 784-0110(480) 784-0220 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Michael Reidy D.o. NPPES

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

JAMES MICHAEL REIDY D.O. (NPI 1174551014) is an individual plastic surgery within the head & neck provider in Gilbert, Arizona, licensed in Arizona (4012) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1174551014
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameJAMES MICHAEL REIDYCredential: D.O.
Location Address2680 S VAL VISTA DR, BLDG 13, UNIT 175Gilbert, AZ 85295-2152
Mailing Address2680 S Val Vista Dr, Bldg 13, Unit 175Gilbert, AZ 85295-2152 · (480) 784-0110 · Fax (480) 784-0220
Phone(480) 784-0110
Fax(480) 784-0220
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 28, 2012
✔ NPI 1174551014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in AZ · 4012
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
2680 S VAL VISTA DR, Gilbert, AZ 85295
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Other Identifiers 4

Medicare UPINI17061AZ
Medicare PINZ84106
OtherAZ0762840AZ · Blue Cross Of Az
Medicaid876617AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

James Michael Reidy D.o. 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 ID7012986524
PECOS Enrollment IDI20041001000445
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 13

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.
255 services168 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
134 services134 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
94 services76 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
93 services84 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
93 services84 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
100%39 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
94%35 patients4/55-star benchmark: 100%
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…
100%380 patients5/55-star benchmark: 100%
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%1,542 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.
63%174 patients3/55-star benchmark: 100%
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.
97%121 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
88%1,441 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.
16%349 patients1/55-star benchmark: 100%
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…
100%261 patients5/55-star benchmark: 100%
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
11%47 patients1/55-star benchmark: 100%
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…
92%349 patients4/55-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…
83%349 patients5/55-star benchmark: 79%
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 20

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

DR. JONATHAN EGAN WOLD OD
Optometrist
2680 S VAL VISTA DR, #111
GILBERT, AZ 85295
Maricopa County (480) 807-0288
JOLE-LANEE GUIDO AGACNP-BC
Nurse Practitioner (Acute Care)
2680 S VAL VISTA DR, SUITE 116
GILBERT, AZ 85295
Maricopa County (480) 507-5678
MRS. JENNIFER M KRAUSE MA, CCC-A
Audiologist
2680 S VAL VISTA DR, BLDG 13, UNIT 175
GILBERT, AZ 85295
Maricopa County (480) 784-0110
ARIZONA ADVANCED ENDOSCOPY LLC
Clinic/Center (Ambulatory Surgical)
2680 S VAL VISTA DR, SUITE 127
GILBERT, AZ 85295
Maricopa County (480) 253-5656
SAN TAN EYECARE PLC
Optometrist
2680 S VAL VISTA DR, SUITE 111
GILBERT, AZ 85295
Maricopa County (480) 807-0288
ARIZONA ADVANCED ANESTHESIA LLC
Anesthesiology
2680 S VAL VISTA DR, SUITE #127
GILBERT, AZ 85295
Maricopa County (480) 253-5656
RENOVO CLINIC
Clinic/Center (Health Service)
2680 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85295
Maricopa County (480) 214-5099
DESERT VALLEY ENT, PC
Otolaryngology
2680 S VAL VISTA DR, BLDG 13, UNIT 175
GILBERT, AZ 85295
Maricopa County (480) 784-0110

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 James Reidy's NPI number?

The NPI number for James Reidy is 1174551014. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is James Reidy located?

James Reidy practices at 2680 S Val Vista Dr Bldg 13, Unit 175, Gilbert, AZ 85295. The listed phone number is (480) 784-0110.

What is James Reidy's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is James Reidy enrolled in Medicare?

Yes. James Reidy 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 James Reidy accept?

Health plans from UnitedHealthcare list James Reidy 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 James Reidy was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.