JOHN DAVID REISMAN MD
NPI 1295704427
Urology in Lafayette, IN

Q: What is John Reisman's NPI number?

The NPI number for John Reisman is 1295704427. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is John Reisman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for John Reisman was last updated on February 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 17, 2006PECOS Enrolled

2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000(765) 448-7619 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About John David Reisman Md NPPES

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

JOHN DAVID REISMAN MD (NPI 1295704427) is an individual urology provider in Lafayette, Indiana, licensed in Indiana (01040939A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295704427

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJOHN DAVID REISMANCredential: MD

Location Address2600 GREENBUSH STLafayette, IN 47904-2479

Mailing Address1200 W White River BlvdMuncie, IN 47303-4988 · (877) 668-5621

Phone(765) 448-8000

Fax(765) 448-7619

Sole ProprietorNo

Enumeration DateMarch 17, 2006

Last NPPES UpdateFebruary 19, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1295704427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IN · 01040939A

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2600 GREENBUSH ST, Lafayette, IN 47904

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Other Identifiers 5

Other10825818IN · Caqh Number

MedicaidRE17626034IN

Other000000196959IN · Anthem Provider Number

Medicaid100095530IN

Other9038973IN · Phcs Pid Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John David Reisman Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers29 claims3,610 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers34 claims5,590 services$1.41 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers31 claims4,080 services$5.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MICHELLE B HERBERTS MD

Internal Medicine (Critical Care Medicine)