MICHAEL J REYES PA C
NPI 1801879838
Physician Assistant - Medical in Tishomingo, OK

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
817 E 6TH ST, TISHOMINGO, OK 73460(580) 371-2392 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 31, 2017 (2 updates tracked since 2017).

About Michael J Reyes Pa C NPPES

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

MICHAEL J REYES PA C (NPI 1801879838) is an individual medical provider in Tishomingo, Oklahoma, licensed in Oklahoma (1474) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1801879838
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL J REYESCredential: PA C
Location Address817 E 6TH STTishomingo, OK 73460-1800
Mailing Address1334 N Lansing AveTulsa, OK 74106-5907 · (918) 273-9911 · Fax (918) 273-9946
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1801879838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 1474
817 E 6TH ST, Tishomingo, OK 73460

Other Identifiers 6

Medicaid100768880FOK
Medicaid100768880IOK
Other37-1834OK · Medicare
Other37-1803OK · Medicare
Medicaid100768880JOK
Other37-1832OK · Medicare

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

Michael J Reyes Pa C 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 ID1759300585
PECOS Enrollment IDI20110602000322
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
113 services53 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.
73 services56 patients

Hospital Affiliations CMS Care Compare

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

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

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.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
817 E 6TH ST
TISHOMINGO, OK 73460
Dentist
817 E 6TH ST
TISHOMINGO, OK 73460
Dentist
817 E 6TH ST
TISHOMINGO, OK 73460
Registered Nurse (Community Health)
817 E 6TH ST
TISHOMINGO, OK 73460
Registered Nurse (Community Health)
817 E 6TH ST
TISHOMINGO, OK 73460
Family Medicine
817 E 6TH ST
TISHOMINGO, OK 73460
Case Manager/Care Coordinator
817 E 6TH ST
TISHOMINGO, OK 73460
Nurse Practitioner
817 E 6TH ST
TISHOMINGO, OK 73460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801879838, enumerated as an "individual" on November 23, 2005.

The provider is located at 817 E 6TH ST TISHOMINGO, OK 73460 and the phone number is (580) 371-2392.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.

Michael Reyes is affiliated with: CHICKASAW NATION MEDICAL CENTER.