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BENJAMIN MICAH REINHOLD
NPI 1740809268
Internal Medicine in Wilkes Barre, PA

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
575 N RIVER ST, WILKES BARRE, PA 18764(570) 552-4450 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2022, Apr 14, 2020 (2 updates tracked since 2020).

About Benjamin Micah Reinhold NPPES

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

BENJAMIN MICAH REINHOLD (NPI 1740809268) is an individual internal medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD482131) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Brooksville.

NPPES Registry Identity

NPI1740809268
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBENJAMIN MICAH REINHOLD
Location Address575 N RIVER STWilkes Barre, PA 18764-5409
Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409
Phone(570) 552-4450
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateJanuary 11, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
✔ NPI 1740809268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD482131
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME157170 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License MD482131 (PA)
575 N RIVER ST, Wilkes Barre, PA 18764
Open in Google Maps ↗

Secondary Practice Location 1

Location 111375 Cortez BlvdBrooksville, FL 34613-5409 · Phone (352) 597-3088

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Benjamin Micah Reinhold 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 ID7315316775
PECOS Enrollment IDI20230927000014
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

4

Medicare enrollment records show Benjamin Reinhold reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Inpatient Medicine Associates PC
Same address
Hospitalist
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 78 clinicians in this Medicare group
NPI 1396168589 (570) 552-4450
Pennsylvania Hospitalist Group, LLC
Same address
Hospitalist
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
NPI 1558126342 (570) 829-8111
Advanced Inpatient Medicine PC
15 mi
Hospitalist
746 JEFFERSON AVE FL 4
Scranton, PA 18510
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 98 clinicians in this Medicare group
NPI 1871725366 (570) 241-4715
Hospital Medicine Services Of Fl, LLC
1,082 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000

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 5

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.

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.
358 services179 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
340 services173 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
172 services165 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.
127 services121 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
51 services51 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

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.

CHERYL CAREY NP
Nurse Practitioner
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 270-9192
DR. CAROLINE L RASKIEWICZ CRNA
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 552-3689
MICHAEL LEVANDOWSKI CRNP
Nurse Practitioner (Family)
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 552-1000
KELSEY L MIHAL CRNA
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 829-8111
WILKES BARRE HOSPITAL COMPANY LLC
Clinic/Center
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 829-8111
LISA TURTURICE CRNA
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 829-8111
DR. ANTHONY ASCIONE DO
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 829-8111
VINCENT CLEVELAND DAVID
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Luzerne County (570) 829-8111

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 Benjamin Reinhold's NPI number?

The NPI number for Benjamin Reinhold is 1740809268. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Benjamin Reinhold located?

Benjamin Reinhold practices at 575 N River St, Wilkes Barre, PA 18764. The listed phone number is (570) 552-4450.

What is Benjamin Reinhold's specialty?

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

Is Benjamin Reinhold enrolled in Medicare?

Yes. Benjamin Reinhold 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 Benjamin Reinhold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Reinhold reassigns Medicare benefits to 4 organizations: Advanced Inpatient Medicine Associates PC (Wilkes Barre, PA), Pennsylvania Hospitalist Group, LLC (Wilkes Barre, PA), Advanced Inpatient Medicine PC (Scranton, PA) and Hospital Medicine Services Of Fl, LLC (Aventura, FL). 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 Benjamin Reinhold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Reinhold accept?

Health plans from AvMed list Benjamin Reinhold 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 Benjamin Reinhold affiliated with any hospitals?

According to CMS data, Benjamin Reinhold is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Reinhold was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.