Individual provider Active NPI

Marcos Reyes, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Saint George, UT
National Provider Identifier
1942485842
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
9454371-8905 Issued in UT
Practice address
617 E Riverside Dr
Ste 101
Saint George, UT 84790-8720
Phone
(435) 628-4507
NPI assigned
Jan 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16046 NV
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 9454371-8905 UT Primary

Addresses

Primary practice location

617 E Riverside Dr
Ste 101
Saint George, UT 84790-8720

Mailing address

617 E Riverside Dr
Ste 101
Saint George, UT 84790-8720
Phone (435) 628-4507

Other practice location 1

404 Portland St
Columbia, MO 65201-6506
Phone (573) 882-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20150729008806 UT Practitioner - Ophthalmology 6507990033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St George Eye Center LLCGroup PAC ID 9234445065, 8 clinicians

Practice addresses (Care Compare)

617 E Riverside Dr
Suite 101
St George, UT 84790-8720
Phone (435) 628-4507

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.22 of 100Reported as group
Quality
90.13
Improvement activities
40
Cost
73.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery459

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9454371-8905UTMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuttle Dermatology PC PastSince Dec 9, 2019 Accepting new patients
Innovative Anesthesia Solutions PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mreyes@stgec.direct.eyemdemr.com

Organizations & group practices 3

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.

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1942485842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR",
            "address_2": "STE 101",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908720",
            "telephone_number": "435-628-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR",
            "address_2": "STE 101",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908720",
            "telephone_number": "435-628-4507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Portland St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016506",
            "country_code": "US",
            "telephone_number": "573-882-1506",
            "fax_number": "573-884-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "16046",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "UT",
            "license": "9454371-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.