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MR. SAMUEL D. MCREYNOLDS PA-C
NPI 1902832652
Physician Assistant - Surgical in Grants Pass, OR

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
537 UNION AVE, GRANTS PASS, OR 97527(541) 479-6777(541) 479-6779 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 18, 2020, Feb 8, 2019 (2 updates tracked since 2019).

About Mr. Samuel D. Mcreynolds Pa-c NPPES

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

MR. SAMUEL D. MCREYNOLDS PA-C (NPI 1902832652) is an individual surgical provider in Grants Pass, Oregon, licensed in Washington (PA60914100) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1902832652
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. SAMUEL D. MCREYNOLDSCredential: PA-C
Location Address537 UNION AVEGrants Pass, OR 97527-5543
Mailing Address2825 E Barnett RdMedford, OR 97504-8332 · (541) 789-4281
Phone(541) 479-6777
Fax(541) 479-6779
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 24, 2006
Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration
✔ NPI 1902832652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA60914100
537 UNION AVE, Grants Pass, OR 97527
Open in Google Maps ↗

Secondary Practice Location 1

Location 17846 E Vista Bonita DrScottsdale, AZ 85255-4123 · Phone (480) 860-1045 · Fax (480) 664-8889

Other Identifiers 1

Medicaid881062AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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. Samuel D. Mcreynolds 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 ID5092783753
PECOS Enrollment IDI20200318002321
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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
145 services145 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.
74 services73 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.
27 services23 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

DENNIS G MINISTER MD
Internal Medicine
537 UNION AVE, FIRST FLOOR
GRANTS PASS, OR 97527
Josephine County (541) 507-2170
KENNETH DURRANT
Physician Assistant
537 UNION AVE, SECOND FLOOR, 2A
GRANTS PASS, OR 97527
Josephine County (541) 474-5004
APP UROLOGY CLINIC
Urology
537 UNION AVE, SECOND FLOOR 2B
GRANTS PASS, OR 97527
Josephine County (541) 507-2020
APP ENT
Otolaryngology
537 UNION AVE, SECOND FLOOR -2C
GRANTS PASS, OR 97527
Josephine County (541) 476-7775
APP ORTHOPEDIC CLINIC
Orthopaedic Surgery
537 UNION AVE, SECOND FLOOR 2A
GRANTS PASS, OR 97527
Josephine County (541) 474-5004
DR. ESTIN YANG MD
Surgery
537 UNION AVE
GRANTS PASS, OR 97527
Josephine County (541) 507-2110
MCKENZIE LEE MYERS FNP-C
Nurse Practitioner (Family)
537 UNION AVE
GRANTS PASS, OR 97527
Josephine County (541) 507-2020
LINDSAY WENGER MD
Surgery
537 UNION AVE
GRANTS PASS, OR 97527
Josephine County (541) 507-2110

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 Samuel Mcreynolds's NPI number?

The NPI number for Samuel Mcreynolds is 1902832652. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Samuel Mcreynolds located?

Samuel Mcreynolds practices at 537 Union Ave, Grants Pass, OR 97527. The listed phone number is (541) 479-6777.

What is Samuel Mcreynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samuel Mcreynolds enrolled in Medicare?

Yes. Samuel Mcreynolds 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 Samuel Mcreynolds accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samuel Mcreynolds 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 Samuel Mcreynolds affiliated with any hospitals?

According to CMS data, Samuel Mcreynolds is affiliated with Asante Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Mcreynolds was last updated on February 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.