Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CARLOS EFRAIN REYES M.D., M.S.
NPI 1992909329
Internal Medicine in Gainesville, FL

Active since June 11, 2007PECOS Enrolled
810 NW 16TH AVE, GAINESVILLE, FL 32601(352) 727-4641(352) 727-7416 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Jun 25, 2020, Jun 29, 2016 (3 updates tracked since 2016).

About Dr. Carlos Efrain Reyes M.d., M.s. NPPES

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

DR. CARLOS EFRAIN REYES M.D., M.S. (NPI 1992909329) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (ME123955) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1992909329
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLOS EFRAIN REYESCredential: M.D., M.S.
Location Address810 NW 16TH AVEGainesville, FL 32601-4012
Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198
Fax(352) 727-7416
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1992909329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in FL · ME123955 Licensed in PR · 18287
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 18287 (PR)
810 NW 16TH AVE, Gainesville, FL 32601

Other Names 1

Other Name (5)Dr. Carlos Efrain Reyes-perez M.d., M.s.

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. Carlos Efrain Reyes M.d., M.s. 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 ID9830327667
PECOS Enrollment IDI20151121000046
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

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 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.
53 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32601 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
38%185 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
19%342 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%144 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,908 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%680 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 537 patients
Patients tobacco: 10% · 124 patients
68%537 patients3/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims56 services$6.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$209.01 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 7

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

Internal Medicine
810 NW 16TH AVE
GAINESVILLE, FL 32601
Internal Medicine
810 NW 16TH AVE
GAINESVILLE, FL 32601
Internal Medicine
810 NW 16TH AVE
GAINESVILLE, FL 32601
Nurse Practitioner (Family)
810 NW 16TH AVE
GAINESVILLE, FL 32601
Family Medicine
810 NW 16TH AVE
GAINESVILLE, FL 32601
Internal Medicine (Cardiovascular Disease)
810 NW 16TH AVE
GAINESVILLE, FL 32601
Family Medicine
810 NW 16TH AVE
GAINESVILLE, FL 32601

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 Carlos Reyes's NPI number?

The NPI number for Carlos Reyes is 1992909329. It was assigned to this individual provider in the NPPES registry on June 11, 2007. The provider is also known as Dr. Carlos Efrain Reyes-Perez M.D., M.S..

Where is Carlos Reyes located?

Carlos Reyes practices at 810 NW 16th Ave, Gainesville, FL 32601. The listed phone number is (352) 727-4641.

What is Carlos Reyes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Reyes enrolled in Medicare?

Yes. Carlos Reyes 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 Carlos Reyes accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Carlos Reyes 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 Carlos Reyes was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.