RICHARD A REIDY DO
NPI 1295771491
Emergency Medicine in Mt Clemens, MI

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 HARRINGTON BLVD, MT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: December 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard A Reidy Do NPPES

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

RICHARD A REIDY DO (NPI 1295771491) is an individual emergency medicine provider in Mt Clemens, Michigan, licensed in Michigan (5101007890) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and is a graduate of Kent State University College Of Podiatric Medicine (1980).

NPPES Registry Identity

NPI1295771491
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRICHARD A REIDYCredential: DO
Location Address1000 HARRINGTON BLVDMt Clemens, MI 48043
Mailing Address1937 Westridge DrRochester Hills, MI 48306-3245 · (248) 214-4871 · Fax (779) 915-6618
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1980
Enumeration DateJune 22, 2006
Last NPPES UpdateDecember 11, 2022
NPPES CertifiedDecember 11, 2022
NPI 1295771491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5101007890
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 HARRINGTON BLVD, Mt Clemens, MI 48043

Other Identifiers 2

Medicaid112125686MI
Other0155000755MI · Bcbs

Accepted 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

Richard A Reidy Do 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 ID8628960556
PECOS Enrollment IDI20040326000175
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
107 services102 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.1
Improvement Activities40

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.

Emergency Medicine
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON BLVD, MOUNT CLEMENS REGIONAL MEDICAL CENTER
MT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON BLVD
MOUNT CLEMENS, MI 48043
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HARRINGTON BLVD
MOUNT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON BLVD
MT. CLEMENS, MI 48043
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043

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 Richard Reidy's NPI number?

The NPI number for Richard Reidy is 1295771491. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Richard Reidy located?

Richard Reidy practices at 1000 Harrington Blvd, Mt Clemens, MI 48043. The listed phone number is (586) 493-8000.

What is Richard Reidy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Richard Reidy enrolled in Medicare?

Yes. Richard 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 Richard Reidy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Richard 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.

Is Richard Reidy affiliated with any hospitals?

According to CMS data, Richard Reidy is affiliated with Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Richard Reidy was last updated on December 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.