Individual provider Active NPI

Edward D Reese, M.D.

  • Family Medicine Physician
  • Dexter, MO
National Provider Identifier
1013279918
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021013100 Issued in MO
Practice address
1200 N One Mile Rd
Dexter, MO 63841-1000
Phone
(573) 624-7575
Fax
(573) 624-7393
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6757 NE
Family Medicine Physician 207Q00000X 2021013100 MO Primary

Addresses

Primary practice location

1200 N One Mile Rd
Dexter, MO 63841-1000

Mailing address

1200 N One Mile Rd
Dexter, MO 63841-1000
Phone (573) 624-7575

Other practice location 1

2360 Katy Ln
Poplar Bluff, MO 63901-2300
Phone (573) 712-2546

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edward.reese.1@8825.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160824002986 UT Practitioner - Family Practice 5395969323 Reassigns benefits to 1 organization
I20210518000780 MO Practitioner - Family Practice 5395969323 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dexter Hospital, LLC 16 clinicians
Southeast Health Center of Stoddard County LLC 39 clinicians
Ozark Family Medical Clinic LLC 7 clinicians
Tinsley Home Medical Services LLC 7 clinicians

Practice addresses (Care Compare)

1200 N One Mile Rd
Dexter, MO 63841-1000

1300 N One Mile
Dexter, MO 63841-1000

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2367
Phone (573) 686-5510

Hospital & facility affiliations

  • Ozark Home Healthcare Home health agency, Poplar Bluff, MO, CCN 267662
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
70.1 of 100Reported as group
Quality
41.46
Improvement activities
40
Cost
87.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6757NEMDDentist

Practice roles (14 of 17)

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Poplar Bluff Regional Medical Center LLC CurrentSince Aug 1, 2021 Accepting new patients
Poplar Bluff Regional Medical Center, LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 18, 2016 Accepting new patients
Poplar Bluff Regional Medical Center LLC Current Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 18, 2016 Accepting new patients
Ozark Family Medical Clinic, LLC Family Medicine CurrentSince Sep 16, 2025 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Tinsley Home Medical Services, LLC Family Medicine CurrentSince Sep 16, 2025 Accepting new patients
Southeast Health Center of Stoddard County LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine Current Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients
Ozark Family Medical Clinic, LLC Past Accepting new patients

Locations

310 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9537

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

610 N One Mile Rd
Dexter, MO 63841
Phone (573) 624-3600

2360 Katy Ln
Poplar Bluff, MO 63901
Phone (573) 712-2546

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

2725 N Westwood Blvd
Ste 5
Poplar Bluff, MO 63901
Phone (573) 872-4671

2725 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Ste 17
Poplar Bluff, MO 63901
Phone (573) 686-5510

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL PPO Downstate

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1013279918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411000",
            "telephone_number": "573-624-7575",
            "fax_number": "573-624-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411000",
            "telephone_number": "573-624-7575",
            "fax_number": "573-624-7393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 Katy Ln",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639012300",
            "country_code": "US",
            "telephone_number": "573-712-2546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "EDWARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "6757",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021013100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edward.reese.1@8825.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "address_1": "2360 Katy Ln",
            "city": "Poplar Bluff",
            "state": "MO",
            "country_code": "US",
            "postal_code": "639012300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

Verify at the official NPI Registry.