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: July 19, 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 O U Medical Center, 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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 45-59 minutes 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.
48 services48 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
34 services30 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
20 services20 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
20 services20 patients
Follow-up hospital inpatient care per day, typically 25 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.
19 services13 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

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.

Internal Medicine (Hematology & Oncology)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Internal Medicine (Hematology & Oncology)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Nurse Practitioner
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Women's Health)
800 NE 10TH ST, SUITE #5050
OKLAHOMA CITY, OK 73104
Internal Medicine
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Gerontology)
800 NE 10TH ST
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Women's Health)
800 NE 10TH ST, SUITE 2100
OKLAHOMA CITY, OK 73104
Internal Medicine (Hematology & Oncology)
800 NE 10TH ST, STEPHENSON CANCER CENTER
OKLAHOMA CITY, OK 73104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568698108, enumerated as an "individual" on June 10, 2009.

The provider is located at 800 NE 10TH ST STE 4500 OKLAHOMA CITY, OK 73104 and the phone number is (405) 271-5789.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.

James Reinersman is affiliated with: O U MEDICAL CENTER.