DR. JOHN EDWARD REUTER M.D.
NPI 1861518177
Internal Medicine - Cardiovascular Disease in Plano, TX

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
88.66/100
CMS Quality Rating
4708 ALLIANCE BLVD STE 500, PLANO, TX 75093(972) 941-3100(844) 292-1461 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2023, Sep 23, 2022, Jun 4, 2020 (3 updates tracked since 2020).

About Dr. John Edward Reuter M.d. NPPES

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

DR. JOHN EDWARD REUTER M.D. (NPI 1861518177) is an individual cardiovascular disease provider in Plano, Texas, licensed in Texas (P6254) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of Washington University School Of Medicine (2007).

NPPES Registry Identity

NPI1861518177
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHN EDWARD REUTERCredential: M.D.
Location Address4708 ALLIANCE BLVD STE 500Plano, TX 75093-5362
Mailing Address4708 Alliance Blvd Ste 500Plano, TX 75093-5362 · (972) 941-3100 · Fax (844) 292-1461
Fax(844) 292-1461
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2007
Enumeration DateMarch 21, 2007
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1861518177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in TX · P6254 Licensed in NY · 255250
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License P6254 (TX)
4708 ALLIANCE BLVD STE 500, Plano, TX 75093

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

Dr. John Edward Reuter 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 ID2769651801
PECOS Enrollment IDI20131227000782
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 31

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,696 services1,161 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.
1,382 services954 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
713 services179 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
669 services649 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
659 services643 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
332 services331 patients

Hospital Affiliations CMS Care Compare 4

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

88.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.03
Promoting Interoperability100
Improvement Activities40
Cost76.16

Reported Quality Measures

Advance Care Plan
86%1,801 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
52%33 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
85%1,506 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
81%118 patients3/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
73%769 patients3/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%61 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%315 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%3,712 patients4/55-star benchmark: 100%
e-Prescribing
97%1,121 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
57%1,748 patients3/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
84%31 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
93%30 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%2,521 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%1,186 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 972 patients
Patients screened: 100% · 972 patients
92%26 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,095 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%1,363 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,804 patients
Patients totalRate: 0% · 1,804 patients
0%1,804 patients5/55-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 6

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

Nurse Practitioner (Family)
4708 ALLIANCE BLVD STE 500
PLANO, TX 75093
Internal Medicine (Cardiovascular Disease)
4708 ALLIANCE BLVD STE 500
PLANO, TX 75093
Internal Medicine (Interventional Cardiology)
4708 ALLIANCE BLVD STE 500
PLANO, TX 75093
Internal Medicine (Cardiovascular Disease)
4708 ALLIANCE BLVD STE 500
PLANO, TX 75093
Internal Medicine (Clinical Cardiac Electrophysiology)
4708 ALLIANCE BLVD STE 500
PLANO, TX 75093
Physician Assistant (Medical)
4708 ALLIANCE BLVD STE 500
PLANO, TX 75093

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 John Reuter's NPI number?

The NPI number for John Reuter is 1861518177. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is John Reuter located?

John Reuter practices at 4708 Alliance Blvd Ste 500, Plano, TX 75093. The listed phone number is (972) 941-3100.

What is John Reuter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Reuter enrolled in Medicare?

Yes. John Reuter 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 John Reuter accept?

Health plans from Baylor Scott and White Health Plan and Oscar Insurance Company list John Reuter 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 John Reuter affiliated with any hospitals?

According to CMS data, John Reuter is affiliated with Methodist Richardson Medical Center, Medical City Plano, Baylor Scott & White Medical Center Plano and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for John Reuter was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.