DR. NICHOLAS THOMAS REYNOLDS D.O.
NPI 1679695548
Emergency Medicine in Pagosa Springs, CO

Active since April 04, 2007PECOS EnrolledAccepts Medicare Assignment
85.4/100
CMS Quality Rating
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147(970) 731-3700(970) 731-3707 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Nicholas Thomas Reynolds D.o. NPPES

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

DR. NICHOLAS THOMAS REYNOLDS D.O. (NPI 1679695548) is an individual emergency medicine provider in Pagosa Springs, Colorado, licensed in Colorado (DR.0057553) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2005).

NPPES Registry Identity

NPI1679695548
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS THOMAS REYNOLDSCredential: D.O.
Location Address95 S PAGOSA BLVDPagosa Springs, CO 81147-8329
Mailing Address95 S Pagosa BlvdPagosa Springs, CO 81147-8329 · (970) 731-3700 · Fax (970) 731-3707
Fax(970) 731-3707
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2005
Enumeration DateApril 4, 2007
Last NPPES UpdateFebruary 16, 2017
NPI 1679695548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CO · DR.0057553
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0057553 (CO), 4492 (OK)
95 S PAGOSA BLVD, Pagosa Springs, CO 81147

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. Nicholas Thomas Reynolds D.o. 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 ID4587758206
PECOS Enrollment IDI20241028002141
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81147 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

85.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.01
Promoting Interoperability99
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers57 claims57 services$17.41 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
4 suppliers56 claims56 services$84.08 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.

Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Internal Medicine (Pulmonary Disease)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Nurse Practitioner
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
General Acute Care Hospital (Critical Access)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Orthopaedic Surgery
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Psychiatry & Neurology (Neurology)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

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 Nicholas Reynolds's NPI number?

The NPI number for Nicholas Reynolds is 1679695548. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Nicholas Reynolds located?

Nicholas Reynolds practices at 95 S Pagosa Blvd, Pagosa Springs, CO 81147. The listed phone number is (970) 731-3700.

What is Nicholas Reynolds's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Reynolds enrolled in Medicare?

Yes. Nicholas Reynolds 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 Nicholas Reynolds accept?

Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Nicholas Reynolds 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 Nicholas Reynolds affiliated with any hospitals?

According to CMS data, Nicholas Reynolds is affiliated with Monument Health Spearfish Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Reynolds was last updated on February 16, 2017. 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.