DR. JOHN FRED REINHARDT MD
NPI 1548278146
Internal Medicine in Newark, DE

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
86.95/100
CMS Quality Rating
4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION ONE #138, NEWARK, DE 19713(302) 731-0800(302) 731-7888 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. John Fred Reinhardt Md NPPES

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

DR. JOHN FRED REINHARDT MD (NPI 1548278146) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C10002659) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1980).

NPPES Registry Identity

NPI1548278146
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN FRED REINHARDTCredential: MD
Location Address4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION ONE #138Newark, DE 19713-2067
Mailing Address4745 Ogletown Stanton Rd, Medical Arts Pavilion One #138Newark, DE 19713-2067 · (302) 731-0800 · Fax (302) 731-7888
Fax(302) 731-7888
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1980
Enumeration DateAugust 3, 2006
Last NPPES UpdateMarch 24, 2015
NPI 1548278146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C10002659
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License C1-0002659 (DE)
4745 OGLETOWN STANTON RD, Newark, DE 19713

Other Identifiers 7

Medicaid01274449PA
Other110013026DE · Rr Medicare
Medicaid0000331602DE
Medicaid295471100MD
Medicare UPINC48656
Medicaid6764100NJ
Medicare PIN130729J60DE

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

Dr. John Fred Reinhardt 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 ID2062561590
PECOS Enrollment IDI20090512000620
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 21

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,020 services39 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.
456 services159 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
321 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
313 services71 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.
139 services91 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
131 services117 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

86.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost51.25

Reported Quality Measures

Breast Cancer Screening
86%125 patients4/55-star benchmark: 93%
Cervical Cancer Screening
67%87 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
63%24 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
78%280 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
87%171 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
45%40 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%40 patients4/55-star benchmark: 91%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
68%373 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,560 services$1.67 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier14 claims14 services$10.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier16 claims94 services$1.74 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims520 services$34.61 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 20

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

Physician Assistant
4745 OGLETOWN STANTON RD
NEWARK, DE 19713
Physician Assistant (Surgical)
4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, SUITE 106
NEWARK, DE 19713
Physician Assistant (Surgical)
4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713
Nurse Practitioner (Neonatal)
4745 OGLETOWN STANTON RD, SUITE 217
NEWARK, DE 19713
Specialist
4745 OGLETOWN STANTON RD
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, MAP1, SUITE 207
NEWARK, DE 19713
Pediatrics (Neonatal-Perinatal Medicine)
4745 OGLETOWN STANTON RD, SUITE 217 MEDICAL ARTS PAVILION ONE
NEWARK, DE 19713

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 John Reinhardt's NPI number?

The NPI number for John Reinhardt is 1548278146. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is John Reinhardt located?

John Reinhardt practices at 4745 Ogletown Stanton Rd Medical Arts Pavilion One #138, Newark, DE 19713. The listed phone number is (302) 731-0800.

What is John Reinhardt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Reinhardt enrolled in Medicare?

Yes. John Reinhardt 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 John Reinhardt accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list John Reinhardt 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 John Reinhardt affiliated with any hospitals?

According to CMS data, John Reinhardt is affiliated with Upmc Altoona and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for John Reinhardt was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.