Active NPI
Edward D Reese, M.D.
- Family Medicine Physician
- Dexter, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021013100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edward.reese.1@8825.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCSoutheast Health Center of Stoddard County LLCOzark Family Medical Clinic LLCTinsley Home Medical Services LLC
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
- Northwestern Medicine Central Dupage Hospital
- Poplar Bluff Regional Medical Center
- Mercy Hospital Stoddard
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 79.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.1 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6757 | NE | MD | Dentist |
Practice roles (14 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Hospital Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Poplar Bluff Regional Medical Center LLC | Current | Accepting new patients | |
| Poplar Bluff Regional Medical Center, LLC | Family Medicine | Current | Accepting new patients |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Poplar Bluff Regional Medical Center LLC | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Ozark Family Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Poplar Bluff Hma Physician Management, LLC | Family Medicine | Current | Accepting new patients |
| Tinsley Home Medical Services, LLC | Family Medicine | Current | 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 | Current | Accepting new patients |
| Southeast Health Center of Stoddard County, LLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1225810179
Family Medicine, MO
-
- Rural Health Clinic/Center
- Dexter, MO
- NPI 1790828812
Family Medicine, MO
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1003406539
Family Medicine, MO
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
Family Medicine, MO
-
- Certified Registered Nurse Anesthetist
- Poplar Bluff, MO
- NPI 1730330168
MO
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Family Medicine, MO
-
- Rural Health Clinic/Center
- Dexter, MO
- NPI 1457660045
Family Medicine
-
- Rural Health Clinic/Center
- Poplar Bluff, MO
- NPI 1124800073
-
- Rural Health Clinic/Center
- Bloomfield, MO
- NPI 1265575385
-
- Rural Health Clinic/Center
- New Madrid, MO
- NPI 1639736457
-
- Rural Health Clinic/Center
- Sikeston, MO
- NPI 1679041040
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Poplar Bluff, MO
- NPI 1528515848
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
Hospital
-
- General Acute Care Hospital
- Dexter, MO
- NPI 1801990825
Hospital
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.