JOSE REYES M.D.
NPI 1366469991
Emergency Medicine in Decatur, IL

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose Reyes M.d. NPPES

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

JOSE REYES M.D. (NPI 1366469991) is an individual emergency medicine provider in Decatur, Illinois, licensed in New Jersey (25MA05453400) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Sacred Heart Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1366469991
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOSE REYESCredential: M.D.
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address75 Remitt Drive, Lockbox 1707Chicago, IL 60675-1707 · (866) 916-5259 · Fax (231) 922-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 7, 2008
NPI 1366469991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · 25MA05453400
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.
1800 E LAKE SHORE DR, Decatur, IL 62521

Other Identifiers 3

Medicare UPINE83616
Medicare PINL82374IL
Medicare PINL64119IL

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

Jose Reyes 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 ID8527081488
PECOS Enrollment IDI20060106000388
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 5

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.
265 services228 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.
142 services128 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
129 services119 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.
79 services70 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner
1800 E LAKE SHORE DR
DECATUR, IL 62521
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner (Family)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner (Psychiatric/Mental Health)
1800 E LAKE SHORE DR
DECATUR, IL 62521

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 Jose Reyes's NPI number?

The NPI number for Jose Reyes is 1366469991. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jose Reyes located?

Jose Reyes practices at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-2966.

What is Jose Reyes's specialty?

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

Is Jose Reyes enrolled in Medicare?

Yes. Jose Reyes 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.

Is Jose Reyes affiliated with any hospitals?

According to CMS data, Jose Reyes is affiliated with Osf Sacred Heart Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Reyes was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.