MARGARET A REYNOLDS MD
NPI 1487661336
Radiology - Radiation Oncology in Minneapolis, MN
Quality Rating: 89.66 out of 100 score
NPI Status: Active since August 02, 2006
Contact Information
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-3000
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Physician Visit Costs
- Overall Quality Performance
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Female
- Years of Experience 38
- Radiology
- Radiation Oncology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARGARET REYNOLDS
This page provides the complete NPI Profile along with additional information for Margaret Reynolds, a provider established in Minneapolis, Minnesota with a medical specialization in Radiology, focusing in radiation oncology and more than 38 years of experience. She graduated from University Of Texas Medical Branch At Galveston in 1988. The healthcare provider is registered in the NPI registry with number 1487661336 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0001X with license number 37567 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1487661336
- Provider Name
- MARGARET A REYNOLDS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 500 HARVARD ST SE MINNEAPOLIS, MN 55455
- Location Phone
- (612) 273-3000
- Mailing Address
- 420 DELAWARE ST SE MINNEAPOLIS, MN 55455
- Mailing Phone
- (612) 273-6700
- Mailing Fax
- Medical School Name
- UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 03-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 37567
- License State
- MN
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2085R0203X | Allopathic & Osteopathic Physicians | Radiology | 37567 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Margaret Reynolds is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Margaret 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
PECOS PAC ID: 3072504430
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040524000501
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
3d radiation therapy planning
Calculation of radiation therapy dose
Complex radiation therapy planning
Ct guidance for insertion of radiation therapy fields
Design and construction of complex radiation treatment device
Design and construction of radiation treatment device for high precision radiation therapy
Design and construction of simple radiation treatment device
Established patient office or other outpatient visit, 40-54 minutes
High precision radiation therapy planning
Management of complete single session course of cranial lesion surgery using radiation
New patient office or other outpatient visit, 60-74 minutes
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved
Radiation treatment management, 5 treatment sessions
Special radiation treatment
3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.
This service was performed 25 times for 20 patientsRadiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
This service was performed 162 times for 24 patientsComplex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
This service was performed 45 times for 38 patientsCT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
This service was performed 400 times for 75 patientsThe design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
This service was performed 111 times for 36 patientsA radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.
This service was performed 13 times for 12 patientsA simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.
This service was performed 17 times for 13 patientsThis 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.
This service was performed 21 times for 14 patientsHigh precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.
This service was performed 12 times for 12 patientsThis procedure involves using radiation to treat a cranial lesion in one session. A precise dose of radiation targets the lesion, destroying abnormal cells while sparing healthy tissue. It's a non-invasive method, meaning no surgical incision is needed.
This service was performed 13 times for 11 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 24 times for 24 patientsThis procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
This service was performed 25 times for 17 patientsThis procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.
This service was performed 20 times for 17 patientsRadiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
This service was performed 66 times for 20 patientsSpecial radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.
This service was performed 33 times for 30 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $42.07 for a new patient copayment and $17.43 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55455 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $168.28
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $42.07
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.66, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 89.66 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 80.3
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 90
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 64.44
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 64.44
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Margaret Reynolds is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
M HEALTH FAIRVIEW UNIVERSITY OF MN | 2450 RIVERSIDE AVENUE MINNEAPOLIS, MN 55454 | (612) 624-1765 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 8 | 7 | 6 | 6 | 1 | 3 | 3 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 16 | 7 | 12 | 6 | 2 | 3 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 6 + 7 + 1 + 2 + 6 + 2 + 3 + 6 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1487661336 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
S MURTHY TADAVARTHY MD
Radiology
(Vascular & Interventional Radiology)
500 HARVARD ST SE
UNIT J2-300
MINNEAPOLIS, MN
ZIP 55455
SHELLY A. MARETTE MD
Radiology
(Diagnostic Radiology)
500 HARVARD ST SE
UNIT J2-300
MINNEAPOLIS, MN
ZIP 55455
CHARLES KRENZEL MD
Radiology
(Diagnostic Radiology)
500 HARVARD ST SE
UNIT J2-300
MINNEAPOLIS, MN
ZIP 55455
JAMES ROELOFS MD
Radiology
(Diagnostic Radiology)
500 HARVARD ST SE
UNIT J2-300
MINNEAPOLIS, MN
ZIP 55455
VINCENT HOCK SENG LOW MD
Radiology
(Diagnostic Radiology)
500 HARVARD ST SE
UNIT J2-300
MINNEAPOLIS, MN
ZIP 55455
SHIRLEY MAE YEARY AAS
Radiology Practitioner Assistant
500 HARVARD ST SE
UNIT J2-300
MINNEAPOLIS, MN
ZIP 55455
NANCY KONSTANTINIDES NP
Nurse Practitioner
500 HARVARD ST SE
RADIATION ONCOLOGY CLINIC
MINNEAPOLIS, MN
ZIP 55455
ERIC JAMES HOGGARD M.D.
Radiology
(Pediatric Radiology)
500 HARVARD ST SE
UNIT J2-300
MINNEAPOLIS, MN
ZIP 55455
MELISSA R. F. TRUELSON MS, CGC
Genetic Counselor, MS
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
DR. CLAUS ALEXANDER PIERACH M.D.
Internal Medicine
500 HARVARD ST SE
UNIVERSITY OF MINNESOTA MEDICAL CENTER
MINNEAPOLIS, MN
ZIP 55455
MRS. ANGELA CHERUBINI POST CRNA
Nurse Anesthetist, Certified Registered
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
SARA CRANE
Registered Nurse
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
JENNIFER MARIE KRAJACIC RN, CRNA
Nurse Anesthetist, Certified Registered
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
HEATHER MILLION LAYTON CRNA
Nurse Anesthetist, Certified Registered
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
JEFFREY FAHRENBRUCH RPH
Pharmacist
500 HARVARD ST SE
SUITE 3-017
MINNEAPOLIS, MN
ZIP 55455
MARY LOGEAIS M.D.
Internal Medicine
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
DR. JORDAN GIL MARMET M.D.
Pediatrics
500 HARVARD ST SE
UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW
MINNEAPOLIS, MN
ZIP 55455
ERIN C DANAHY MD
Anesthesiology
500 HARVARD ST SE
UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW
MINNEAPOLIS, MN
ZIP 55455
JEFFREY THOMAS PEPIN MD
Emergency Medicine
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
KRISTINE WIDBOOM PHARM.D.
Pharmacist
(Pharmacotherapy)
500 HARVARD ST SE
MINNEAPOLIS, MN
ZIP 55455
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487661336, enumerated as an "individual" on August 02, 2006.
The provider is located at 500 HARVARD ST SE MINNEAPOLIS, MN 55455 and the phone number is (612) 273-3000.
Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.
The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
Margaret Reynolds is affiliated with: M HEALTH FAIRVIEW UNIVERSITY OF MN.