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ROBERTO CISNEROS REYNA M.D.
NPI 1639250558
Internal Medicine in Martinsburg, WV

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
65 HEALTH CARE LN, MARTINSBURG, WV 25401(304) 263-6997(304) 263-8827 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2022, Jan 8, 2021 (2 updates tracked since 2021).

About Roberto Cisneros Reyna M.d. NPPES

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

ROBERTO CISNEROS REYNA M.D. (NPI 1639250558) is an individual internal medicine provider in Martinsburg, West Virginia, licensed in West Virginia (19524) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1639250558
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERTO CISNEROS REYNACredential: M.D.
Location Address65 HEALTH CARE LNMartinsburg, WV 25401-4006
Mailing Address65 Health Care LnMartinsburg, WV 25401-4006 · (304) 263-6997 · Fax (304) 263-8827
Phone(304) 263-6997
Fax(304) 263-8827
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 18, 2006
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1639250558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 19524
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.
65 HEALTH CARE LN, Martinsburg, WV 25401
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Other Names 1

Other Name (5)Roberto Reyna Cisneros M.d.

Other Identifiers 1

Medicaid0082008000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roberto Cisneros Reyna 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 ID8022068477
PECOS Enrollment IDI20100826000111
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Roberto Reyna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Healthcare Physicians Inc
0.6 mi
Anesthesiology
2500 FOUNDATION WAY
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 208 clinicians in this Medicare group
NPI 1417371329 (304) 264-9202
University Hematology And Oncology
0.7 mi
Clinical Medical Laboratory
2008 PROFESSIONAL CT
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1306125612 (304) 293-7401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
798 services272 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.
165 services127 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
161 services161 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.
99 services32 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
23 services23 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers69 claims135 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims28 services$0.94 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers12 claims54 services$4.34 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers23 claims23 services$39.59 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 suppliers32 claims32 services$91.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$34.14 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 5

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

JEFFREY BLAKE DEBORD D.O.
Internal Medicine
65 HEALTH CARE LN
MARTINSBURG, WV 25401
Berkeley County (304) 263-6997
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Internal Medicine
65 HEALTH CARE LN
MARTINSBURG, WV 25401
Berkeley County (304) 263-6997
PANHANDLE MEDICAL ASSOC PLLC
Medical Genetics, Ph.D. Medical Genetics
65 HEALTH CARE LN
MARTINSBURG, WV 25401
Berkeley County (304) 263-6997
ROBERTO REYNA, MD LLC
Internal Medicine
65 HEALTH CARE LN
MARTINSBURG, WV 25401
Berkeley County (304) 263-6997
CITY HOSPITAL INC
General Acute Care Hospital
65 HEALTH CARE LN
MARTINSBURG, WV 25401
Berkeley County (304) 263-6997

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 Roberto Reyna's NPI number?

The NPI number for Roberto Reyna is 1639250558. It was assigned to this individual provider in the NPPES registry on October 18, 2006. The provider is also known as Roberto Reyna Cisneros M.D..

Where is Roberto Reyna located?

Roberto Reyna practices at 65 Health Care Ln, Martinsburg, WV 25401. The listed phone number is (304) 263-6997.

What is Roberto Reyna's specialty?

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

Is Roberto Reyna enrolled in Medicare?

Yes. Roberto Reyna 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.

Which organizations bill Medicare for Roberto Reyna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Reyna reassigns Medicare benefits to 2 organizations: University Healthcare Physicians Inc (Martinsburg, WV) and University Hematology And Oncology (Martinsburg, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Reyna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Reyna accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Roberto Reyna 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 Roberto Reyna affiliated with any hospitals?

According to CMS data, Roberto Reyna is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Roberto Reyna was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.