Individual provider Active NPI

David S. Reid IV, M.D.

  • Plastic Surgery Physician
  • Hilton Head, SC
National Provider Identifier
1497755805
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
36150 Issued in SC
Practice address
35 Bill Fries Dr BLDG E
Hilton Head, SC 29926-2731
Phone
(843) 681-4088
Fax
(843) 689-3742
NPI assigned
Jul 28, 2005
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 58471 NC
Plastic Surgery Physician 208200000X 36150 SC Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 36150 SC
Surgery of the Hand (Surgery) Physician 2086S0105X 036.118809 IL
Plastic and Reconstructive Surgery Physician 2086S0122X 58471 NC
Plastic and Reconstructive Surgery Physician 2086S0122X 036.118809 IL

Addresses

Primary practice location

35 Bill Fries Dr BLDG E
Hilton Head, SC 29926-2731

Mailing address

35 Bill Fries Dr BLDG E
Hilton Head, SC 29926-2731
Phone (843) 681-4088

Other identifiers 1

IdentifierTypeStateIssuer
8971096MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131111000383 SC Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 2860562055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Bill Fries Dr
BLDG E
Hilton Head Island, SC 29926-2731
Phone (843) 681-4088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy46
Melanoma (skin cancer) excision130
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36150SCMDPlastic Surgery Physician
036.118809ILMDSurgery of the Hand (Surgery) Physician
58471NCMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Plastic Surgery, LLC CurrentSince Sep 3, 2013 Accepting new patients
Hilton Head Island Plastic Surgery, LLC Surgery of the Hand CurrentSince Sep 3, 2013 Accepting new patients

Locations

35 Bill Fries Dr
Bldg E
Hilton Head Island, SC 29926
Phone (843) 681-4088

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1497755805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR BLDG E",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262731",
            "telephone_number": "843-681-4088",
            "fax_number": "843-689-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR BLDG E",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262731",
            "telephone_number": "843-681-4088",
            "fax_number": "843-689-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "58471",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "36150",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "SC",
            "license": "36150",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "IL",
            "license": "036.118809",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "58471",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036.118809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8971096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.