KYLE RAY REYNOLDS DO
NPI 1417442666
Emergency Medicine in Jackson, MI

Active since June 28, 2018PECOS Enrolled
205 N EAST AVE, JACKSON, MI 49201(517) 205-3994 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 13, 2022, Jun 28, 2018 (2 updates tracked since 2018).

About Kyle Ray Reynolds Do NPPES

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

KYLE RAY REYNOLDS DO (NPI 1417442666) is an individual emergency medicine provider in Jackson, Michigan, licensed in Florida (5101025672) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417442666
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKYLE RAY REYNOLDSCredential: DO
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address3100 E Fletcher AveTampa, FL 33613-4613
Sole ProprietorYes
Enumeration DateJune 28, 2018
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
NPI 1417442666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · 5101025672
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101024331 (MI)
205 N EAST AVE, Jackson, MI 49201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle Ray Reynolds Do 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.

Areas of Expertise CMS Part B claims 4

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.
179 services174 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.
163 services152 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.
55 services55 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201

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 Kyle Reynolds's NPI number?

The NPI number for Kyle Reynolds is 1417442666. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Kyle Reynolds located?

Kyle Reynolds practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-3994.

What is Kyle Reynolds's specialty?

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

Is Kyle Reynolds enrolled in Medicare?

Yes. Kyle Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Reynolds was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.