TONYA REID NP
NPI 1447631569
Nurse Practitioner - Family in Gaffney, SC

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
724 HYATT ST, GAFFNEY, SC 29341(864) 488-3980(864) 488-3998 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2020, Oct 25, 2019, Jan 18, 2018 (3 updates tracked since 2018).

About Tonya Reid Np NPPES

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

TONYA REID NP (NPI 1447631569) is an individual family provider in Gaffney, South Carolina, licensed in South Carolina (19619) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1447631569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA REIDCredential: NP
Location Address724 HYATT STGaffney, SC 29341-2630
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 488-3998
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
NPI 1447631569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 19619
Also ListedRegistered NurseTaxonomy 163W00000X · License 91983 (SC)
724 HYATT ST, Gaffney, SC 29341

Secondary Practice Location 1

Location 1101 E Wood StSpartanburg, SC 29303-3040 · Phone (864) 560-7050 · Fax (864) 560-0800

Other Identifiers 2

OtherSC64393365SC · Medicare Pin
MedicaidNP3315SC

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

Tonya Reid Np 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 ID3173830940
PECOS Enrollment IDI20150911001616
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.

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.
43 services41 patients
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.
35 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services23 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29341 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
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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

Other Providers at the Same Location NPPES 4

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

Orthopaedic Surgery
724 HYATT ST, SUITE F
GAFFNEY, SC 29341
Durable Medical Equipment & Medical Supplies
724 HYATT ST, STE #F
GAFFNEY, SC 29341
Internal Medicine (Hematology & Oncology)
724 HYATT ST
GAFFNEY, SC 29341
Durable Medical Equipment & Medical Supplies
724 HYATT ST, SUITE D
GAFFNEY, SC 29341

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 Tonya Reid's NPI number?

The NPI number for Tonya Reid is 1447631569. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Tonya Reid located?

Tonya Reid practices at 724 Hyatt St, Gaffney, SC 29341. The listed phone number is (864) 488-3980.

What is Tonya Reid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tonya Reid enrolled in Medicare?

Yes. Tonya Reid 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 Tonya Reid 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 1 other insurer list Tonya Reid 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 Tonya Reid affiliated with any hospitals?

According to CMS data, Tonya Reid is affiliated with Spartanburg Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Tonya Reid was last updated on December 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.