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MR. REGINALD DWAIN GLADISH MD
NPI 1831167287
Internal Medicine - Nephrology in Decatur, AL

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
89.87/100
CMS Quality Rating
1216 SOMERVILLE ROAD SE, DECATUR, AL 35601(256) 340-0012(256) 340-1408 Get Directions Write a Review

NPPES record last updated: February 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Reginald Dwain Gladish Md NPPES

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

MR. REGINALD DWAIN GLADISH MD (NPI 1831167287) is an individual nephrology provider in Decatur, Alabama, licensed in Alabama (18219) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (1993).

NPPES Registry Identity

NPI1831167287
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMR. REGINALD DWAIN GLADISHCredential: MD
Location Address1216 SOMERVILLE ROAD SEDecatur, AL 35601
Mailing Address1216 Somerville Road SeDecatur, AL 35601 · (256) 340-0012 · Fax (256) 340-1408
Phone(256) 340-0012
Fax(256) 340-1408
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1993
Enumeration DateMarch 10, 2006
Last NPPES UpdateFebruary 18, 2008
✔ NPI 1831167287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in AL · 18219
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1216 SOMERVILLE ROAD SE, Decatur, AL 35601
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Other Identifiers 1

Medicare UPINF79983

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Mr. Reginald Dwain Gladish Md 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 ID7517935273
PECOS Enrollment IDI20040921000046
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 14

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.

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106
Epoetin alfa-epbx (Retacrit) is a biosimilar injection used for non-ESRD (End-Stage Renal Disease). It helps your body make more red blood cells, increasing your energy and well-being. It's usually given under the skin or into a vein by a healthcare professional.
1,370 services11 patients
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.
876 services227 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
665 services99 patients
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.
302 services253 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
153 services142 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
122 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

89.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.23
Promoting Interoperability100
Improvement Activities40
Cost62.33

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims780 services$0.26 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,400 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$15.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier13 claims13 services$12.64 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

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

NEPHROLOGY OF NORTH ALABAMA P.C.
Internal Medicine (Nephrology)
1216 SOMERVILLE ROAD SE
DECATUR, AL 35601
Morgan County (256) 340-0012

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 Reginald Gladish's NPI number?

The NPI number for Reginald Gladish is 1831167287. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Reginald Gladish located?

Reginald Gladish practices at 1216 Somerville Road SE, Decatur, AL 35601. The listed phone number is (256) 340-0012.

What is Reginald Gladish's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Reginald Gladish enrolled in Medicare?

Yes. Reginald Gladish 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 Reginald Gladish accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Reginald Gladish 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.

When was this NPI record last updated?

The NPPES record for Reginald Gladish was last updated on February 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.