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DR. KENNETH G. REINERT M.D.
NPI 1295781607
Family Medicine in O Fallon, IL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 222-4600(618) 256-7640 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth G. Reinert M.d. NPPES

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

DR. KENNETH G. REINERT M.D. (NPI 1295781607) is an individual family medicine provider in O Fallon, Illinois, licensed in Illinois (036-072448) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1983).

NPPES Registry Identity

NPI1295781607
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH G. REINERTCredential: M.D.
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 222-4600 · Fax (618) 256-7640
Phone(618) 222-4600
Fax(618) 256-7640
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1983
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1295781607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-072448
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Kenneth G. Reinert M.d. 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 ID9133016025
PECOS Enrollment IDI20040304000132
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 Kenneth Reinert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Healthcare Foundation Inc
0.4 mi
Federally Qualified Health Center (FQHC)
3 SAINT ELIZABETH BLVD STE 4000
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1225556996 (618) 233-5480

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 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

MARA GRACE DOWNING MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. NOAH M COOPERSTEIN MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-7311
DR. PATRICK BLOECHER MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-7880
BENJAMIN F WOOD MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
SALSAPELA HIYTHAM SHABAN MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
MARIA OCHIAI
Military Health Care Provider
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355
LUKE BRECHNER
Military Health Care Provider
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355
ALEX BRANDON BELONGY
General Practice
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355

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 Kenneth Reinert's NPI number?

The NPI number for Kenneth Reinert is 1295781607. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Kenneth Reinert located?

Kenneth Reinert practices at 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (618) 222-4600.

What is Kenneth Reinert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Reinert enrolled in Medicare?

Yes. Kenneth Reinert 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 Kenneth Reinert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Reinert reassigns Medicare benefits to Southern Illinois Healthcare Foundation Inc (O Fallon, IL). 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 Kenneth Reinert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Reinert accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kenneth Reinert 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 Kenneth Reinert was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.