Individual provider Active NPI

Matthew Reynolds, D.O.

  • Surgery Physician
  • Largo, FL
National Provider Identifier
1760762629
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS12151 Issued in FL
Practice address
11200 Seminole Blvd Ste 210
Largo, FL 33778-3239
Phone
(727) 584-9500
Fax
(727) 914-8529
NPI assigned
Aug 24, 2011
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS12151 FL Primary
Surgery Physician 208600000X UO2790 FL

Addresses

Primary practice location

11200 Seminole Blvd Ste 210
Largo, FL 33778-3239

Mailing address

11200 Seminole Blvd Ste 210
Largo, FL 33778-3239
Phone (727) 584-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160824000320 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 2466747803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Surgical Group LLPGroup PAC ID 8224113527, 16 clinicians

Practice addresses (Care Compare)

2901 W Busch Blvd
Suite 707
Tampa, FL 33618-4569

3000 Medical Park Dr
Suite 400
Tampa, FL 33613-4698
Phone (813) 933-9666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12151FLMDSurgery Physician
UO2790FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Surgical Group, LLP Surgery CurrentSince Aug 1, 2016 Accepting new patients
Tampa Bay Surgical Group LLP Surgery Past Accepting new patients

Locations

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

251 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 584-9500

11200 Seminole Blvd
Ste 210
Seminole, FL 33778
Phone (727) 319-8900

606 S Boulevard
Tampa, FL 33606
Phone (813) 254-3016

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: matthewreynolds@tbsg.allscriptsdirect.net

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 3

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1760762629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 210",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783239",
            "telephone_number": "727-584-9500",
            "fax_number": "727-914-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 210",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783239",
            "telephone_number": "727-584-9500",
            "fax_number": "727-914-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS12151",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "UO2790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.