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DR. DOUGLAS WILLIAM REAVIE M.D.
NPI 1720114291
Plastic Surgery in San Diego, CA

Active since February 26, 2007PECOS Enrolled
15717 BERNARDO HEIGHTS PKWY, SAN DIEGO, CA 92128(858) 451-1908(858) 451-0423 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas William Reavie M.d. NPPES

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

DR. DOUGLAS WILLIAM REAVIE M.D. (NPI 1720114291) is an individual plastic surgery provider in San Diego, California, licensed in California (G47917) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720114291
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DOUGLAS WILLIAM REAVIECredential: M.D.
Location Address15717 BERNARDO HEIGHTS PKWYSan Diego, CA 92128-3155
Mailing Address15717 Bernardo Heights PkwySan Diego, CA 92128-3155 · (858) 451-1908 · Fax (858) 451-0423
Phone(858) 451-1908
Fax(858) 451-0423
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1720114291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · G47917
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License G47917 (CA)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas William Reavie M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 6

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

C. ASHMORE DENTAL CORP.
Dentist
15717 BERNARDO HEIGHTS PKWY
SAN DIEGO, CA 92128
San Diego County (619) 701-6643
DR. LYNNE D THOMAS D.D.S.
Dentist
15717 BERNARDO HEIGHTS PKWY
SAN DIEGO, CA 92128
San Diego County (858) 451-4413
SAMANTHA SCHALLER DMD
Dentist (General Practice)
15717 BERNARDO HEIGHTS PKWY
SAN DIEGO, CA 92128
San Diego County (858) 451-4413
JUERGEN LANGENBACH, DMD, A PROFESSIONAL DENTAL CORPORATION
Clinic/Center (Dental)
15717 BERNARDO HEIGHTS PKWY
SAN DIEGO, CA 92128
San Diego County (858) 451-4413
JUERGEN LANGENBACH, D.M.D., A.P.D.C.
Dentist
15717 BERNARDO HEIGHTS PKWY
SAN DIEGO, CA 92128
San Diego County (858) 451-4413
DR. JUERGEN LANGENBACH D.M.D., F.A.G.D.
Dentist (General Practice)
15717 BERNARDO HEIGHTS PKWY
SAN DIEGO, CA 92128
San Diego County (858) 451-4413

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 Reavie's NPI number?

The NPI number for Douglas Reavie is 1720114291. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Douglas Reavie located?

Douglas Reavie practices at 15717 Bernardo Heights Pkwy, San Diego, CA 92128. The listed phone number is (858) 451-1908.

What is Douglas Reavie's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Douglas Reavie enrolled in Medicare?

Yes. Douglas Reavie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Reavie was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.