DR. W TERENCE REILLY MD
NPI 1669433785
Colon & Rectal Surgery in Bethlehem, PA

Q: What is W Reilly's NPI number?

The NPI number for W Reilly is 1669433785. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is W Reilly's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for W Reilly was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

1530 8TH AVE, BETHLEHEM, PA 18018(486) 526-2600 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. W Terence Reilly Md NPPES

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

DR. W TERENCE REILLY MD (NPI 1669433785) is an individual colon & rectal surgery provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD059236L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Albany Medical College Of Union University (1987).

NPPES Registry Identity

NPI1669433785

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. W TERENCE REILLYCredential: MD

Location Address1530 8TH AVEBethlehem, PA 18018-1883

Mailing Address406 Delaware AveBethlehem, PA 18015-1469 · (610) 866-2600 · Fax (610) 861-7640

Phone(486) 526-2600

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 1987

Enumeration DateMarch 29, 2006

Last NPPES UpdateJanuary 22, 2026

NPPES CertifiedJanuary 22, 2026

✔ NPI 1669433785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in PA · MD059236L

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1530 8TH AVE, Bethlehem, PA 18018

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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

Dr. W Terence Reilly 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 ID1557354040

PECOS Enrollment IDI20040408000727

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

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

St. Luke's Physician Group, Inc

Same address

Internal Medicine

1530 8TH AVE FL 2
Bethlehem, PA 18018

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1063734416 (484) 526-7910

St. Luke's Warren Physician Group, PC

12 mi

Colon & Rectal Surgery

123 ROSEBERRY ST
Phillipsburg, NJ 08865

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Lukes Warren Physician Group PC
528 clinicians in this Medicare group

NPI 1043635733 (610) 866-2600

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 14

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

108 services106 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.

77 services67 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

64 services64 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.

56 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

55 services55 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

42 services39 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.

32 services32 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.

32 services32 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.

26 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services21 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

20 services20 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

19 services19 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390162

Location250 South 21st StreetEaston, PA 18042 · Northampton County

Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18018 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

63%76 patients2/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

68%459 patients2/55-star benchmark: 100%

Patient-Generated Health Data

Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.

6%733 patients

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

93%275 patients4/55-star benchmark: 99%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

99%733 patients4/55-star benchmark: 100%

Request/Accept Summary of Care

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…

97%391 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

20%733 patients2/55-star benchmark: 75%

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 2

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

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims1,100 services$0.20 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

3 suppliers14 claims550 services$0.23 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 14

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

DR. ROBERT A KITEI MD

Ophthalmology

1530 8TH AVE, SUITE 102
BETHLEHEM, PA 18018

Northampton County (610) 691-3335

DR. LAURA ELIZABETH COOPER MD

Colon & Rectal Surgery

1530 8TH AVE
BETHLEHEM, PA 18018

Northampton County (717) 379-2033

DR. EUGENE M SARAVITZ JR. MD

Ophthalmology

1530 8TH AVE, SUITE 102
BETHLEHEM, PA 18018

Northampton County (610) 691-3335

ST. LUKE'S HOSPITAL

Optometrist

1530 8TH AVE
BETHLEHEM, PA 18018

Northampton County (484) 526-6204

ST. LUKE'S PHYSICIAN GROUP, INC.

Internal Medicine (Cardiovascular Disease)

1530 8TH AVE, SUITE 200
BETHLEHEM, PA 18018

Northampton County (610) 861-8007

RENATA LERER MD

Internal Medicine (Gastroenterology)

1530 8TH AVE
BETHLEHEM, PA 18018

Northampton County (215) 873-3168

GABRIELLA FRANCESCA MERIANO FNP-BC

Nurse Practitioner (Family)

1530 8TH AVE
BETHLEHEM, PA 18018

Northampton County (484) 526-2100

DR. SARA EMILY SCHWENK MD

Internal Medicine (Hepatology)

1530 8TH AVE
BETHLEHEM, PA 18018

Northampton County (484) 526-6545

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 W Reilly's NPI number?

The NPI number for W Reilly is 1669433785. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is W Reilly located?

W Reilly practices at 1530 8th Ave, Bethlehem, PA 18018. The listed phone number is (486) 526-2600.

What is W Reilly's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is W Reilly enrolled in Medicare?

Yes. W Reilly 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 W Reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), W Reilly reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc (Bethlehem, PA) and St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). 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 W Reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is W Reilly affiliated with any hospitals?

According to CMS data, W Reilly is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health, St Luke's Hospital - Easton Campus and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for W Reilly was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.