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JAMES C REYNOLDS MD
NPI 1871541219
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
219 N BROAD ST, 5TH FL, PHILADELPHIA, PA 19107(215) 762-6220(215) 762-5034 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James C Reynolds Md NPPES

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

JAMES C REYNOLDS MD (NPI 1871541219) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD024261E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of University Of Florida College Of Medicine (1977).

NPPES Registry Identity

NPI1871541219
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJAMES C REYNOLDSCredential: MD
Location Address219 N BROAD ST, 5TH FLPhiladelphia, PA 19107-1519
Mailing Address3400 Civic Center Blvd, Fl 7Philadelphia, PA 19104-5163 · (215) 255-7822 · Fax (215) 255-7825
Phone(215) 762-6220
Fax(215) 762-5034
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1977
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 3, 2016
✔ NPI 1871541219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD024261E
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD024261E (PA)
219 N BROAD ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB95808PA
Medicaid000913358PA
Medicare PIN000589PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

James C Reynolds 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 ID6204726953
PECOS Enrollment IDI20040317000850
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
169 services129 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
136 services90 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.
39 services36 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.
36 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
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.

EVA HASSAN ALSHEIK M.D.
Internal Medicine (Gastroenterology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6071
STEVEN PEITZMAN MD
Internal Medicine (Nephrology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6144
DREXEL UNIVERSITY
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6555
DREXEL UNIVERSITY
Psychiatry & Neurology (Neurology)
219 N BROAD ST, 7TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6915
MICHAEL S SHERMAN MD
Internal Medicine (Pulmonary Disease)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-2688
JOANNE E GETSY MD
Internal Medicine (Sleep Medicine)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-2688
PHILADELPHIA HEALTH & EDUCATION CORP
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6555
DIANA M MORGENSTERN MD
Internal Medicine
219 N BROAD ST, 6TH FLOOR
PHILA, PA 19107
Philadelphia County (215) 762-5181

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 James Reynolds's NPI number?

The NPI number for James Reynolds is 1871541219. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is James Reynolds located?

James Reynolds practices at 219 N Broad St 5th Fl, Philadelphia, PA 19107. The listed phone number is (215) 762-6220.

What is James Reynolds's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Reynolds enrolled in Medicare?

Yes. James Reynolds 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 James Reynolds accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Reynolds 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 James Reynolds affiliated with any hospitals?

According to CMS data, James Reynolds is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for James Reynolds was last updated on May 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.