DR. JAMES MATTHEW REINERSMAN MD
NPI 1568698108
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Oklahoma City, OK

Active since June 10, 2009PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
800 NE 10TH ST, STE 4500, OKLAHOMA CITY, OK 73104(405) 271-5789(405) 271-3288 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Matthew Reinersman Md NPPES

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

DR. JAMES MATTHEW REINERSMAN MD (NPI 1568698108) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Oklahoma City, Oklahoma, licensed in Oklahoma (31548) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Southern Illinois University School Of Medicine (2005).

NPPES Registry Identity

NPI1568698108
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JAMES MATTHEW REINERSMANCredential: MD
Location Address800 NE 10TH ST, STE 4500Oklahoma City, OK 73104-5418
Mailing Address800 Sl Young Blvd, Ste 9000Oklahoma City, OK 73104-5418 · (405) 271-5789 · Fax (405) 271-3288
Fax(405) 271-3288
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2005
Enumeration DateJune 10, 2009
Last NPPES UpdateNovember 10, 2016
NPI 1568698108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in OK · 31548 Licensed in MN · 106231 Licensed in MN · 55764
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
800 NE 10TH ST, Oklahoma City, OK 73104

Other Identifiers 2

Medicare PIN428051YKV9OK
Medicaid200588440AOK

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. James Matthew Reinersman 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 ID4183871197
PECOS Enrollment IDI20150814014258
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 13

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.
39 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This 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.
34 services34 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.
31 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services14 patients
Computer-assisted image-guided navigation of lung airways using an endoscope 31627
This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Referred Medical Equipment & Supplies CMS DME claims 6

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers30 claims866 services$5.18 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers20 claims12,214 services$0.29 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims8,699 services$0.96 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
2 suppliers37 claims37 services$56.94 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier23 claims23 services$7.28 avg. paid by Medicare
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
2 suppliers14 claims14 services$80.71 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.

Nurse Practitioner (Family)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Obstetrics & Gynecology (Gynecologic Oncology)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Obstetrics & Gynecology (Gynecologic Oncology)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Internal Medicine
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Clinical Nurse Specialist (Adult Health)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Pharmacist (Oncology)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Radiology (Therapeutic Radiology)
800 NE 10TH ST, OKCC L100
OKLAHOMA CITY, OK 73104
Nurse Practitioner
800 NE 10TH ST
OKLAHOMA CITY, OK 73104

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 Reinersman's NPI number?

The NPI number for James Reinersman is 1568698108. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is James Reinersman located?

James Reinersman practices at 800 NE 10th St Ste 4500, Oklahoma City, OK 73104. The listed phone number is (405) 271-5789.

What is James Reinersman's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Reinersman enrolled in Medicare?

Yes. James Reinersman 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 James Reinersman accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list James Reinersman 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 James Reinersman affiliated with any hospitals?

According to CMS data, James Reinersman is affiliated with Norman Regional, Stillwater Medical Center and O U Medical Center.

When was this NPI record last updated?

The NPPES record for James Reinersman was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.