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MR. THOMAS RANDALL REARDON RN, MS, NP(C)
NPI 1174817423
Nurse Practitioner - Family in Teec Nos Pos, AZ

Active since June 03, 2011PECOS EnrolledAccepts Medicare Assignment
55.65/100
CMS Quality Rating
US HWY 160 AND NAVAJO RT 35, HCR 6100 BOX 30, TEEC NOS POS, AZ 86514(928) 656-5000 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Thomas Randall Reardon Rn, Ms, Np(c) NPPES

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

MR. THOMAS RANDALL REARDON RN, MS, NP(C) (NPI 1174817423) is an individual family provider in Teec Nos Pos, Arizona, licensed in Arizona (AP10252) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Northern Navajo Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174817423
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. THOMAS RANDALL REARDONCredential: RN, MS, NP(C)
Location AddressUS HWY 160 AND NAVAJO RT 35, HCR 6100 BOX 30Teec Nos Pos, AZ 86514
Mailing AddressHcr 6100 Box 30Teec Nos Pos, AZ 86514
Phone(928) 656-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 3, 2011
Last NPPES UpdateJune 4, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1174817423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · AP10252✔ Licensed in GA · RN089784
Also ListedRegistered NurseTaxonomy 163W00000X · License RN089784 (GA)
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN207769 (AZ)
US HWY 160 AND NAVAJO RT 35, Teec Nos Pos, AZ 86514
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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

Mr. Thomas Randall Reardon Rn, Ms, Np(c) 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 ID3678741097
PECOS Enrollment IDI20150929001640
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 Reassignments

3

Medicare enrollment records show Thomas Reardon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhhs, Phs, Naihs, Shiprock Hospital
2.0 mi
General Acute Care Hospital
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
Teecnospos, AZ 86514
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1477615789 (505) 368-6401
Kayenta Alternative Rural Hospital
45 mi
General Acute Care Hospital
US HIGHWAY 160 BLDING 2000
Dennehotso, AZ 86535
  • Reassigned Medicare billing, Texas enrollment
  • 215 clinicians in this Medicare group
NPI 1821167297 (928) 697-4000
Minuteclinic LLC
1,740 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Georgia enrollment
  • 350 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727

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 2

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.
181 services104 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services36 patients

Hospital Affiliations CMS Care Compare

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

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86514 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$19.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$105.67 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$31.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Reardon's NPI number?

The NPI number for Thomas Reardon is 1174817423. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Thomas Reardon located?

Thomas Reardon practices at Us Hwy 160 And Navajo Rt 35 Hcr 6100 Box 30, Teec Nos Pos, AZ 86514. The listed phone number is (928) 656-5000.

What is Thomas Reardon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thomas Reardon enrolled in Medicare?

Yes. Thomas Reardon 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 organizations bill Medicare for Thomas Reardon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Reardon reassigns Medicare benefits to 3 organizations: Dhhs, Phs, Naihs, Shiprock Hospital (Teecnospos, AZ), Kayenta Alternative Rural Hospital (Dennehotso, AZ) and Minuteclinic LLC (Rockville, MD). Each 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 Thomas Reardon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Reardon affiliated with any hospitals?

According to CMS data, Thomas Reardon is affiliated with Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Reardon was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.