RACHEL C REINHARDT M.D.
NPI 1689712440
Ophthalmology in Mill Creek, WA

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
1025 153RD ST SE, SUITE 100, MILL CREEK, WA 98012(425) 316-0338(425) 316-1993 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachel C Reinhardt M.d. NPPES

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

RACHEL C REINHARDT M.D. (NPI 1689712440) is an individual ophthalmology provider in Mill Creek, Washington, licensed in Washington (MD00044591) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of University Of Washington School Of Medicine (2001).

NPPES Registry Identity

NPI1689712440
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameRACHEL C REINHARDTCredential: M.D.
Location Address1025 153RD ST SE, SUITE 100Mill Creek, WA 98012-4051
Mailing Address1025 153rd St Se, Suite 100Mill Creek, WA 98012-4051 · (425) 316-0338 · Fax (425) 316-1993
Fax(425) 316-1993
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2001
Enumeration DateFebruary 2, 2007
Last NPPES UpdateNovember 29, 2007
NPI 1689712440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WA · MD00044591
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1025 153RD ST SE, Mill Creek, WA 98012

Other Identifiers 4

Medicare UPINI35531WA
Medicaid8440620WA
Medicare PING8854631WA
Other0197247WA · L & I

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

Rachel C Reinhardt 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 ID6204864986
PECOS Enrollment IDI20050805000182
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 13

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.
372 services265 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
237 services223 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
219 services174 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
161 services149 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.
124 services110 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
118 services110 patients

Hospital Affiliations CMS Care Compare

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

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.34
Promoting Interoperability100
Improvement Activities40
Cost58.42

Reported Quality Measures

Breast Cancer Screening
81%501 patients4/55-star benchmark: 93%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
99%106 patients4/55-star benchmark: 100%
Cervical Cancer Screening
32%335 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%472 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
35%911 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
55%511 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
100%306 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%247 patients4/55-star benchmark: 91%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
0%74 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
84%2,699 patients4/55-star benchmark: 100%
e-Prescribing
100%280 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
26%1,280 patients2/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%26 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,482 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
18%1,158 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,494 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 74% · 668 patients
Patients screened: 76% · 668 patients
41%22 patients2/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%102 patients
Provide Patients Electronic Access to Their Health Information
100%632 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%601 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 1,304 patients
Patients totalRate: 13% · 1,304 patients
8%1,304 patients4/55-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 12

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

Nurse Practitioner
1025 153RD ST SE
MILL CREEK, WA 98012
Ophthalmology
1025 153RD ST SE, SUITE 100
MILL CREEK, WA 98012
Ophthalmology
1025 153RD ST SE, SUITE 100
MILL CREEK, WA 98012
Dentist (Orthodontics and Dentofacial Orthopedics)
1025 153RD ST SE, SUITE 102
MILL CREEK, WA 98012
Dentist (General Practice)
1025 153RD ST SE, SUITE #103
MILL CREEK, WA 98012
Family Medicine
1025 153RD ST SE, SUITE 200
MILL CREEK, WA 98012
Family Medicine
1025 153RD ST SE
MILL CREEK, WA 98012
Dentist
1025 153RD ST SE, SUITE 103
MILL CREEK, WA 98012

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 Rachel Reinhardt's NPI number?

The NPI number for Rachel Reinhardt is 1689712440. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Rachel Reinhardt located?

Rachel Reinhardt practices at 1025 153rd St SE Suite 100, Mill Creek, WA 98012. The listed phone number is (425) 316-0338.

What is Rachel Reinhardt's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rachel Reinhardt enrolled in Medicare?

Yes. Rachel Reinhardt 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 Rachel Reinhardt accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rachel Reinhardt 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 Rachel Reinhardt affiliated with any hospitals?

According to CMS data, Rachel Reinhardt is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Reinhardt was last updated on November 29, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.