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RICHARD BENNETT REINHARDT JR. M.D.
NPI 1386607349
Surgery in Spartanburg, SC

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1330 BOILING SPRINGS RD STE 2300, SPARTANBURG, SC 29303(864) 585-6491(864) 585-1368 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Aug 23, 2018 (2 updates tracked since 2018).

About Richard Bennett Reinhardt Jr. M.d. NPPES

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

RICHARD BENNETT REINHARDT JR. M.D. (NPI 1386607349) is an individual surgery provider in Spartanburg, South Carolina, licensed in South Carolina (18910) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (1994).

NPPES Registry Identity

NPI1386607349
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD BENNETT REINHARDT JR.Credential: M.D.
Location Address1330 BOILING SPRINGS RD STE 2300Spartanburg, SC 29303
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 585-6491
Fax(864) 585-1368
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1994
Enumeration DateApril 10, 2006
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1386607349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 18910
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1330 BOILING SPRINGS RD STE 2300, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 5

OtherH167107628SC · Medicare Pin
Other53983SC · Medcost
Other7984239SC · Aetna
Medicaid89064FRNC
Medicaid189102SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 Bennett Reinhardt Jr. 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 ID5698849370
PECOS Enrollment IDI20080729000391
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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.20 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB CLARK BALMER MD
Surgery
1330 BOILING SPRINGS RD STE 2300
SPARTANBURG, SC 29303
Spartanburg County (864) 585-6491

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 Reinhardt's NPI number?

The NPI number for Richard Reinhardt is 1386607349. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Richard Reinhardt located?

Richard Reinhardt practices at 1330 Boiling Springs Rd Ste 2300, Spartanburg, SC 29303. The listed phone number is (864) 585-6491.

What is Richard Reinhardt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Reinhardt enrolled in Medicare?

Yes. Richard Reinhardt 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 Reinhardt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Richard Reinhardt 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 Reinhardt affiliated with any hospitals?

According to CMS data, Richard Reinhardt is affiliated with Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Reinhardt was last updated on December 10, 2020. 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.