1. Home
  2. Directory
  3. Florida
  4. Tarpon Springs
  5. Surgery
  6. NPI Profile

DR. DOUGLAS S. REINTGEN M.D.
NPI 1609869759
Surgery - Surgical Oncology in Tarpon Springs, FL

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
1501 S PINELLAS AVE, STE T, TARPON SPRINGS, FL 34689(727) 934-6797(727) 942-6503 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas S. Reintgen M.d. NPPES

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

DR. DOUGLAS S. REINTGEN M.D. (NPI 1609869759) is an individual surgical oncology provider in Tarpon Springs, Florida, licensed in Florida (ME51078) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Duke University School Of Medicine (1979).

NPPES Registry Identity

NPI1609869759
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. DOUGLAS S. REINTGENCredential: M.D.
Location Address1501 S PINELLAS AVE, STE TTarpon Springs, FL 34689-1955
Mailing Address1501 S Pinellas Ave, St TTarpon Springs, FL 34689-1955 · (727) 934-6797 · Fax (727) 942-6503
Phone(727) 934-6797
Fax(727) 942-6503
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1979
Enumeration DateAugust 24, 2005
Last NPPES UpdateMarch 22, 2016
✔ NPI 1609869759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in FL · ME51078
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1501 S PINELLAS AVE, Tarpon Springs, FL 34689
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN04535VFL
Medicaid046546100FL
Medicare PIN020020955FL
Other04535FL · Blue Cross Blue Shield
Medicare UPIND20940FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. Douglas S. Reintgen M.d. 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 ID7810801412
PECOS Enrollment IDI20031118000544
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 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 services54 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
65 services13 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
17 services12 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.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34689 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%52 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%96 patients2/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 19

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

EQUBAL E KALANI MD
Internal Medicine (Cardiovascular Disease)
1501 S PINELLAS AVE, SUITE S
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-2880
SHEREZA N. ABDOOL D.O. P.C.
Family Medicine
1501 S PINELLAS AVE, SUITE P
TARPON SPRINGS, FL 34689
Pinellas County (727) 940-5278
EQUBAL KALANI MD PA
Internal Medicine (Cardiovascular Disease)
1501 S PINELLAS AVE, SUITE S
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-2880
LORI NEAL
Counselor
1501 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 547-3692
MS. ROBIN M LAVALLEY CNM
Nurse Practitioner (Obstetrics & Gynecology)
1501 S PINELLAS AVE, SUITE T
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-2229
MISS JESSICA L DOREY MSW RCSWI
Counselor
1501 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 547-3692
AMBROSIA OWEN
Counselor (Mental Health)
1501 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 547-3692
AMY JOY KAE
Counselor (Mental Health)
1501 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 547-3692

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 Douglas Reintgen's NPI number?

The NPI number for Douglas Reintgen is 1609869759. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Douglas Reintgen located?

Douglas Reintgen practices at 1501 S Pinellas Ave Ste T, Tarpon Springs, FL 34689. The listed phone number is (727) 934-6797.

What is Douglas Reintgen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Douglas Reintgen enrolled in Medicare?

Yes. Douglas Reintgen 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 Douglas Reintgen accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Molina Healthcare and 2 other insurers list Douglas Reintgen 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 Douglas Reintgen affiliated with any hospitals?

According to CMS data, Douglas Reintgen is affiliated with Adventhealth North Pinellas, Florida Hospital Carrollwood and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Douglas Reintgen was last updated on March 22, 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.