KRISTEN ELIZABETH REILLY MD
NPI 1235633132
Pediatrics in Columbus, OH

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
380 BUTTERFLY GARDENS DR STE E, COLUMBUS, OH 43215(614) 722-2450(614) 355-8610 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2021, Mar 23, 2018 (2 updates tracked since 2018).

About Kristen Elizabeth Reilly Md NPPES

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

KRISTEN ELIZABETH REILLY MD (NPI 1235633132) is an individual pediatrics provider in Columbus, Ohio, licensed in Ohio (35.141268) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235633132
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTEN ELIZABETH REILLYCredential: MD
Location Address380 BUTTERFLY GARDENS DR STE EColumbus, OH 43215-7508
Mailing Address380 Butterfly Gardens Dr Ste EColumbus, OH 43215-7508 · (614) 722-2450 · Fax (614) 355-8610
Fax(614) 355-8610
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 23, 2018
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 15, 2021
✔ NPI 1235633132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.141268
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
380 BUTTERFLY GARDENS DR STE E, Columbus, OH 43215

Accepted Insurance

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

Kristen Elizabeth Reilly Md 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 ID8426578014
PECOS Enrollment IDI20250226002212
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 Kristen Reilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group

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 43215 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Kristen Reilly's NPI number?

The NPI number for Kristen Reilly is 1235633132. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Kristen Reilly located?

Kristen Reilly practices at 380 Butterfly Gardens Dr Ste E, Columbus, OH 43215. The listed phone number is (614) 722-2450.

What is Kristen Reilly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristen Reilly enrolled in Medicare?

Yes. Kristen Reilly 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 organization bills Medicare for Kristen Reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Reilly reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). 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 Kristen Reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Reilly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Kristen Reilly 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 Kristen Reilly was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.