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NICHOLAS RYAN REINHART D.O.
NPI 1942525878
Emergency Medicine in Eureka, IL

Active since April 04, 2010PECOS EnrolledAccepts Medicare Assignment
101 SOUTH MAJOR STREET, 101 SOUTH MAJOR STREET, EUREKA, IL 61530(309) 467-4145 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2024, Sep 27, 2021 (2 updates tracked since 2021).

About Nicholas Ryan Reinhart D.o. NPPES

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

NICHOLAS RYAN REINHART D.O. (NPI 1942525878) is an individual emergency medicine provider in Eureka, Illinois, licensed in Illinois (036.132772) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942525878
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLAS RYAN REINHARTCredential: D.O.
Location Address101 SOUTH MAJOR STREET, 101 SOUTH MAJOR STREETEureka, IL 61530
Mailing Address611 W. Park St, FapcUrbana, IL 61801 · (121) 790-2529
Phone(309) 467-4145
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 4, 2010
Last NPPES UpdateMay 30, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1942525878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036.132772
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
101 SOUTH MAJOR STREET, Eureka, IL 61530
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Ryan Reinhart D.o. 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 ID840424289
PECOS Enrollment IDI20131017001700
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Nicholas Reinhart reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Eureka Hospital
Same address
Critical Access
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 97 clinicians in this Medicare group
NPI 1184644023 (309) 467-2371
Methodist Medical Center Of Illinois
17 mi
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265966048 (Illinois)
  • 693 clinicians in this Medicare group
NPI 1275583155 (309) 672-5522
Epss Peoria LLC
17 mi
Emergency Medicine
5409 N KNOXVILLE AVE, ER DEPARTMENT
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 90 clinicians in this Medicare group
NPI 1831421056 (309) 689-8603
Carle West Physician Group Inc
21 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Epss LLC - Central Series
22 mi
Emergency Medicine
600 S 13TH ST
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 92 clinicians in this Medicare group
NPI 1538680467 (817) 451-4208
Mason Hospital District
34 mi
Family Medicine
1301 S EAST AVE
Manito, IL 61546
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1689823866 (Illinois)
  • 56 clinicians in this Medicare group
NPI 1902340748 (309) 968-5311
Carle Health Medical Group
70 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services115 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services102 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
48 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
38 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services35 patients

Hospital Affiliations CMS Care Compare 5

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141309
Location101 S Major StEureka, IL 61530 · Woodford County
Emergency services

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61530 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Nicholas Reinhart's NPI number?

The NPI number for Nicholas Reinhart is 1942525878. It was assigned to this individual provider in the NPPES registry on April 4, 2010.

Where is Nicholas Reinhart located?

Nicholas Reinhart practices at 101 South Major Street 101 South Major Street, Eureka, IL 61530. The listed phone number is (309) 467-4145.

What is Nicholas Reinhart's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Reinhart enrolled in Medicare?

Yes. Nicholas Reinhart 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.

Which organizations bill Medicare for Nicholas Reinhart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Reinhart reassigns Medicare benefits to 7 organizations: Carle Eureka Hospital (Eureka, IL), Methodist Medical Center Of Illinois (Peoria, IL), Epss Peoria LLC (Peoria, IL), Carle West Physician Group Inc (Normal, IL), Epss LLC - Central Series (Pekin, IL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Reinhart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Reinhart affiliated with any hospitals?

According to CMS data, Nicholas Reinhart is affiliated with Proctor Hospital, Pekin Memorial Hospital, Carle Bromenn Medical Center, Carle Eureka Hospital and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Reinhart was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.