PETER MCLEAN REYNOLDS MD
NPI 1457364663
Orthopaedic Surgery - Sports Medicine in Capitola, CA

Active since August 15, 2006PECOS Enrolled
4140 JADE ST, SUITE 100, CAPITOLA, CA 95010(831) 475-4024(831) 475-4344 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Peter Mclean Reynolds Md NPPES

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

PETER MCLEAN REYNOLDS MD (NPI 1457364663) is a sports medicine provider in Capitola, California, licensed in California (C384340) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated January 15, 2014.

NPPES Registry Identity

NPI1457364663
Entity TypeIndividualMale
Provider Legal NamePETER MCLEAN REYNOLDSCredential: MD
Location Address4140 JADE ST, SUITE 100Capitola, CA 95010-3956
Mailing Address3803 S Bascom Ave, Suite 102Campbell, CA 95008-7317 · (831) 475-4024 · Fax (831) 475-4344
Fax(831) 475-4344
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 15, 2014
NPI 1457364663 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Orthopaedic Surgery · Sports Medicine

Taxonomy 207XX0005X · Allopathic & Osteopathic Physicians

Licensed in CA · C384340

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting… Show more

4140 JADE ST, Capitola, CA 95010

Also on File with NPPES

Other Identifiers3
A88014 (Medicare UPIN)
00C384340 (Medicare ID-Type Unspecified, CA)
C384340 (Other, CA, Medical Lic)

Medicare Participation & PECOS Enrollment Status

Peter Reynolds is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Acupuncturist
4140 JADE ST, SUITE 102
CAPITOLA, CA 95010
Orthopaedic Surgery
4140 JADE ST, SUITE 100
CAPITOLA, CA 95010
Physician Assistant
4140 JADE ST
CAPITOLA, CA 95010
Physician Assistant (Surgical)
4140 JADE ST, SUITE 100
CAPITOLA, CA 95010
Physician Assistant (Surgical)
4140 JADE ST, SUITE 100
CAPITOLA, CA 95010
Specialist
4140 JADE ST, STE 100
CAPITOLA, CA 95010
Anesthesiology (Addiction Medicine)
4140 JADE ST, SUITE 102
CAPITOLA, CA 95010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457364663, enumerated as an "individual" on August 15, 2006.

The provider is located at 4140 JADE ST SUITE 100 CAPITOLA, CA 95010 and the phone number is (831) 475-4024.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.