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JAMES REESE JR. MD, MPH
NPI 1467581272
Pediatrics in Albuquerque, NM

Active since March 05, 2007PECOS Enrolled
UNM HSC DEPARTMENT OF NEUROLOGY, 1 UNIVERSITY OF NEW MEXICO; MSC 10-5620, ALBUQUERQUE, NM 87131(505) 272-4517(505) 272-6692 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Reese Jr. Md, Mph NPPES

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

JAMES REESE JR. MD, MPH (NPI 1467581272) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in Louisiana (MD.202328) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467581272
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES REESE JR.Credential: MD, MPH
Location AddressUNM HSC DEPARTMENT OF NEUROLOGY, 1 UNIVERSITY OF NEW MEXICO; MSC 10-5620Albuquerque, NM 87131-0001
Mailing AddressUnm Hsc Department Of Neurology, 1 University Of New Mexico; Msc 10-5620Albuquerque, NM 87131-0001 · (505) 272-4517 · Fax (505) 272-6692
Phone(505) 272-4517
Fax(505) 272-6692
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateJanuary 4, 2016
✔ NPI 1467581272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · MD.202328
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License D72119 (MD), MD039269 (DC), MD2015-0909 (NM)
UNM HSC DEPARTMENT OF NEUROLOGY, Albuquerque, NM 87131
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Other Identifiers 1

Other1191591LA · Medicaid Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Reese Jr. Md, Mph 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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Reese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unm Medical Group Inc
0.1 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303
Presbyterian Healthcare Services
1.1 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 James Reese's NPI number?

The NPI number for James Reese is 1467581272. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is James Reese located?

James Reese practices at Unm Hsc Department Of Neurology 1 University Of New Mexico; Msc 10-5620, Albuquerque, NM 87131. The listed phone number is (505) 272-4517.

What is James Reese's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Reese enrolled in Medicare?

Yes. James Reese is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Reese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Reese reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Presbyterian Healthcare Services (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Reese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Reese accept?

Health plans from UnitedHealthcare list James Reese 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.

When was this NPI record last updated?

The NPPES record for James Reese was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.