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TODD P REYNOLDS MD
NPI 1518984186
Family Medicine in De Pere, WI

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1686 EISENHOWER RD, DE PERE, WI 54115(920) 496-4700(920) 496-4705 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Todd P Reynolds Md NPPES

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

TODD P REYNOLDS MD (NPI 1518984186) is an individual family medicine provider in De Pere, Wisconsin, licensed in Wisconsin (37840) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1986).

NPPES Registry Identity

NPI1518984186
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD P REYNOLDSCredential: MD
Location Address1686 EISENHOWER RDDe Pere, WI 54115-8145
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Phone(920) 496-4700
Fax(920) 496-4705
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1986
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1518984186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 37840
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1686 EISENHOWER RD, De Pere, WI 54115
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Other Identifiers 3

Medicare UPINF96177
Medicaid32241700WI
Medicare ID-Type Unspecified07125-0031

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

Todd P Reynolds Md 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 ID6800942822
PECOS Enrollment IDI20090916000532
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 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.
127 services63 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
76 services46 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
29 services23 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$82.78 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$30.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

DR. LINDSAY LEA DEUSTER M.D.
Pediatrics
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700
PREVEA CLINIC, INC.
Durable Medical Equipment & Medical Supplies
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700
MRS. AMY NICOLE MCMAHON OT
Occupational Therapist
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700
MICHELLE MARIE HILL M.D.
Pediatrics
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700
KATHERINE THERESE NIMKE M.D.
Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700
JESSICA PROVOST
Speech-Language Pathologist
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700
DR. DAVID T. SPIKA MD
Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700
DR. STEVEN GALE M.D.
Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Brown County (920) 496-4700

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 Todd Reynolds's NPI number?

The NPI number for Todd Reynolds is 1518984186. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Todd Reynolds located?

Todd Reynolds practices at 1686 Eisenhower Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is Todd Reynolds's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Todd Reynolds enrolled in Medicare?

Yes. Todd Reynolds 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.

Is Todd Reynolds affiliated with any hospitals?

According to CMS data, Todd Reynolds is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Todd Reynolds was last updated on September 19, 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.