Robert W Reagan Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

200300399 Issued in NC

Practice address

1021 Beaman St
Clinton, NC 28328-2343

Phone

(910) 590-3569

Fax

(910) 592-3525

NPI assigned

Aug 9, 2005

Last updated

May 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Urology

Education

University of North Carolina at Chapel Hill School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Urology Healthcare PLLCGroup PAC ID 5092861443, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
• Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024
• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120
• Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Merit-based Incentive Payment System (MIPS)

Final score

62.75 of 100Reported as individual

Quality

30

Improvement activities

40

Cost

64.12

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drreagan@carolinaurology.direct.cgm.us
• FHIR API: https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4

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.

• Carolina Urology Healthcare, PLLC

  • Urology Physician
  • Clinton, NC
  • NPI 1598997371
  Medicare reassignment Care Compare group NPD Authorized official

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

• Duplin General Hospital Incorporated

  dba ECU Health Duplin Hospital

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833
  Care Compare affiliation
• Harnett Health System, Inc.

  dba Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital

  • General Acute Care Hospital
  • Dunn, NC
  • NPI 1922144757
  Care Compare affiliation
• Sampson Regional Medical Center

  • General Acute Care Hospital
  • Clinton, NC
  • NPI 1609857432
  Care Compare affiliation
• Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
  • NPI 1760470660
  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1841291135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282343",
            "telephone_number": "910-590-3569",
            "fax_number": "910-592-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282343",
            "telephone_number": "910-590-3569",
            "fax_number": "910-592-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "200300399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134K7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quality in Home Care Agency, Inc.
• Quick Med Inc
• Ariana Denise Rayner
• Berkley R Raynor, MS, CCC/SLP
• Latonya Raynor, PLCSW
• David Allen Reeves, PA-C
• Restart, Inc.
• Blanca Esmeralda Reyes, FNP-C
• Rha Health Services NC LLC
• Maksim Aleksandrovich Ribalko, DO

• Urology Physician in Clinton, NC
• Providers in Clinton, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.

Verify at the official NPI Registry.