JEFFREY M REAGAN MD PLLC
NPI 1194132613
Orthopaedic Surgery - Sports Medicine in Lakeside, AZ

Q: What is Jeffrey M Reagan MD PLLC's NPI number?

The NPI number for Jeffrey M Reagan MD PLLC is 1194132613. It was assigned to this organization in the NPPES registry on July 16, 2014.

Q: What is Jeffrey M Reagan MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since July 16, 2014

4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 85929(928) 537-8777(928) 537-1914 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeffrey M Reagan Md Pllc NPPES

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

JEFFREY M REAGAN MD PLLC (NPI 1194132613) is a healthcare organization registered as a sports medicine in Lakeside, Arizona and active in the NPI registry since July 2014. The organization lists Jamie Barnett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194132613

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameJEFFREY M REAGAN MD PLLC

Location Address4830 HIGHWAY 260 STE 103Lakeside, AZ 85929-5851

Mailing Address4830 Highway 260 Ste 103Lakeside, AZ 85929-5851 · (928) 537-8777 · Fax (928) 537-1914

Phone(928) 537-8777

Fax(928) 537-1914

Organization SubpartNo

Authorized OfficialJamie BarnettOffice Manager · (928) 537-8777

Enumeration DateJuly 16, 2014

✔ NPI 1194132613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in AZ · 49407

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4830 HIGHWAY 260 STE 103, Lakeside, AZ 85929

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey M Reagan Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeffrey M Reagan MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jeffrey Reagan, M.D.

Orthopedic Surgery

NPI 1477750636

4830 HIGHWAY 260 STE 103
Lakeside, AZ 85929

(928) 537-8777

✔ PECOS✔ Accepts MedicareSame address

Raelynn Musick, N.P.

Nurse Practitioner

NPI 1073946562

4951 S WHITE MOUNTAIN RD BLDG A
Show Low, AZ 85901

(928) 537-6700

✔ PECOS✔ Accepts Medicare1.5 mi

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

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 Jeffrey M Reagan MD PLLC's NPI number?

The NPI number for Jeffrey M Reagan MD PLLC is 1194132613. It was assigned to this organization in the NPPES registry on July 16, 2014.

Where is Jeffrey M Reagan MD PLLC located?

Jeffrey M Reagan MD PLLC is located at 4830 Highway 260 Ste 103, Lakeside, AZ 85929. The listed phone number is (928) 537-8777.

What is Jeffrey M Reagan MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jeffrey M Reagan MD PLLC enrolled in Medicare?

Yes. Jeffrey M Reagan MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey M Reagan MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jeffrey M Reagan MD PLLC, in Nurse Practitioner and Orthopedic Surgery. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey M Reagan MD PLLC was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.