Active NPI
Matthew Reynolds, D.O.
- Surgery Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS12151
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 66.74
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 68.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12151 | FL | MD | Surgery Physician |
| UO2790 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Surgical Group, LLP | Surgery | Current | 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
- 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.
-
- Surgery Physician
- Tampa, FL
- NPI 1831308949
-
- Surgery Physician
- Tampa, FL
- NPI 1083085328
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Largo Hospital
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.