Active NPI 1689686065 Individual Practitioner Male Practitioner

Dr. Michael D Reynolds , MD

Surgery • Bridgeton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Reynolds, MD is a certified Surgery practicing in Bridgeton, MO. With approximately 40 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 1986, Dr. Reynolds delivers high-quality medical care to the local community at 12266 DEPAUL DR..

Dr. Reynolds is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, repair of wound by transferring skin, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12266 Depaul Dr.
Suite 305

Bridgeton, MO 630442516

Telephone 3147700991

Fax 3147700692

Associated Practice Facility / Clinic

🏢 Surgical Arts Of St Louis,ltd Facility NPI 1710999115

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bridgeton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +12.6 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Bridgeton, MO (766 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reynolds (40 Years) 40 Yrs

Bridgeton Specialty Average (27.4 Years) 27.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	99	73	$1483.00	$223.77
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	91	25	$785.00	$205.85
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	53	35	$135.00	$11.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	47	47	$294.00	$31.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	37	$295.00	$121.17
36907 Balloon dilation of dialysis segment with review by radiologist	36	30	$630.00	$137.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	34	34	$125.00	$20.02
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	28	28	$2507.00	$550.00
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	28	25	$79.00	$35.97
36821 Relocation of arm vein with connection to arm artery, open procedure	25	25	$1605.00	$594.89
93922 Ultrasound study of arm and leg arteries	24	23	$85.00	$10.97
36830 Connection of tube graft to vein and artery for dialysis	23	20	$2247.00	$552.39
93880 Ultrasound of both sides of head and neck blood flow	20	20	$327.00	$36.13
35011 Repair of diseased or bulging (aneurysm) artery of arm	20	19	$3168.00	$958.76
37607 Tying or banding of a passage between an artery and vein	18	18	$1070.00	$201.79
93990 Ultrasound of dialysis access	16	15	$155.00	$21.32
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$190.00	$63.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$363.00	$144.45
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	12	12	$730.00	$158.78
93926 Ultrasound of one leg arteries or artery grafts	12	11	$150.00	$22.03
36832 Revision of dialysis graft, open procedure	11	11	$2367.00	$587.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	57	$256.00	$123.00
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	70	55	$1176.50	$229.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	55	53	$125.00	$20.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	51	49	$294.00	$32.29
36821 Relocation of arm vein with connection to arm artery, open procedure	38	37	$1605.00	$615.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$363.00	$161.88
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	36	35	$79.00	$36.89
36907 Balloon dilation of dialysis segment with review by radiologist	35	26	$585.86	$140.20
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	34	31	$2507.00	$646.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	32	23	$135.00	$12.16
36830 Connection of tube graft to vein and artery for dialysis	32	32	$2247.00	$626.96
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	26	23	$539.77	$161.47
37607 Tying or banding of a passage between an artery and vein	24	24	$1070.00	$195.16
93990 Ultrasound of dialysis access	21	18	$155.00	$21.88
35011 Repair of diseased or bulging (aneurysm) artery of arm	21	17	$3168.00	$969.34
93880 Ultrasound of both sides of head and neck blood flow	18	18	$327.00	$37.30
93922 Ultrasound study of arm and leg arteries	18	18	$85.00	$11.85
36589 Removal of central venous catheter for infusion	11	11	$486.00	$117.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	73	$235.00	$126.60
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	75	64	$1102.00	$232.31
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	50	13	$379.00	$68.75
36821 Relocation of arm vein with connection to arm artery, open procedure	41	38	$1395.00	$634.98
93970 Ultrasound study of arm or leg veins with compression and maneuvers	40	40	$195.00	$33.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$360.00	$165.10
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	36	$125.00	$21.39
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	36	28	$126.00	$12.45
35011 Repair of diseased or bulging (aneurysm) artery of arm	33	31	$3168.00	$982.16
36830 Connection of tube graft to vein and artery for dialysis	32	30	$2247.00	$636.03
36907 Balloon dilation of dialysis segment with review by radiologist	29	25	$468.00	$143.21
37607 Tying or banding of a passage between an artery and vein	26	25	$930.00	$184.87
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	23	23	$1716.00	$279.76
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	23	21	$494.00	$158.34
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	22	22	$2180.00	$618.98
93880 Ultrasound of both sides of head and neck blood flow	20	20	$198.00	$38.51
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	19	18	$79.00	$37.65
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$160.00	$89.75
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	14	13	$2697.00	$86.79
49422 Removal of abdominal cavity catheter	13	12	$1019.00	$157.92
93990 Ultrasound of dialysis access	12	12	$155.00	$23.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	92	$229.66	$127.97
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	99	83	$1102.00	$236.31
93970 Ultrasound study of arm or leg veins with compression and maneuvers	91	89	$195.00	$33.47
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	56	54	$79.00	$38.48
36821 Relocation of arm vein with connection to arm artery, open procedure	56	54	$1387.14	$648.12
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	50	50	$125.00	$21.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$355.58	$167.33
36907 Balloon dilation of dialysis segment with review by radiologist	42	32	$468.00	$143.73
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	40	39	$1716.00	$282.90
35011 Repair of diseased or bulging (aneurysm) artery of arm	35	34	$3168.00	$1001.18
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	34	26	$126.00	$12.41
93990 Ultrasound of dialysis access	32	24	$155.00	$23.98
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	32	27	$494.00	$167.89
36830 Connection of tube graft to vein and artery for dialysis	29	27	$2247.00	$637.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$230.19	$111.91
37607 Tying or banding of a passage between an artery and vein	23	22	$930.00	$230.74
93880 Ultrasound of both sides of head and neck blood flow	23	23	$198.00	$38.63
93922 Ultrasound study of arm and leg arteries	20	20	$85.00	$12.69
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$157.50	$91.03
49422 Removal of abdominal cavity catheter	16	15	$1019.00	$133.79
49421 Insertion of abdominal cavity catheter for drainage or dialysis, open procedure	13	11	$968.00	$184.78
36589 Removal of central venous catheter for infusion	13	13	$387.00	$78.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	228	176	$1530.61	$245.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	140	$218.00	$107.12
93970 Ultrasound study of arm or leg veins with compression and maneuvers	97	94	$176.24	$34.88
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	95	70	$126.00	$12.24
36907 Balloon dilation of dialysis segment with review by radiologist	82	60	$790.59	$150.63
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	72	67	$79.00	$39.18
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	61	50	$709.85	$171.34
36830 Connection of tube graft to vein and artery for dialysis	61	58	$2247.00	$674.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$220.00	$106.99
36821 Relocation of arm vein with connection to arm artery, open procedure	55	53	$1255.91	$675.00
35011 Repair of diseased or bulging (aneurysm) artery of arm	53	50	$3168.00	$1023.94
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	52	51	$110.94	$22.41
37607 Tying or banding of a passage between an artery and vein	44	43	$930.00	$235.85
93922 Ultrasound study of arm and leg arteries	35	34	$70.14	$12.82
93990 Ultrasound of dialysis access	33	32	$124.00	$25.27
36589 Removal of central venous catheter for infusion	31	31	$387.00	$111.53
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$148.00	$74.39
93880 Ultrasound of both sides of head and neck blood flow	25	25	$169.84	$40.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$266.00	$137.72
49422 Removal of abdominal cavity catheter	18	17	$1019.00	$157.57
36832 Revision of dialysis graft, open procedure	17	16	$2058.00	$739.63
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	15	14	$1716.00	$319.48
49560 Repair of incisional or abdominal hernia	13	13	$1740.00	$760.71
93923 Complete ultrasound study of arm and leg arteries	11	11	$81.00	$22.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	143	$163.44	$107.71
93970 Ultrasound study of arm or leg veins with compression and maneuvers	100	99	$107.15	$34.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$165.28	$107.86
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	96	92	$33.80	$14.80
36821 Relocation of arm vein with connection to arm artery, open procedure	95	91	$1112.97	$666.70
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	91	90	$70.15	$22.68
93990 Ultrasound of dialysis access	72	60	$51.46	$24.57
36830 Connection of tube graft to vein and artery for dialysis	71	68	$1919.54	$670.69
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$107.37	$73.82
37607 Tying or banding of a passage between an artery and vein	58	55	$799.05	$212.51
35011 Repair of diseased or bulging (aneurysm) artery of arm	43	40	$2750.51	$1034.36
93880 Ultrasound of both sides of head and neck blood flow	40	40	$94.33	$40.76
93922 Ultrasound study of arm and leg arteries	35	34	$37.69	$12.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$215.74	$137.81
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	31	28	$983.23	$250.33
93923 Complete ultrasound study of arm and leg arteries	28	28	$68.93	$21.91
36832 Revision of dialysis graft, open procedure	24	23	$1772.17	$778.08
36819 Relocation of arm vein with connection to arm artery, open procedure	15	15	$1702.40	$693.91
49421 Insertion of abdominal cavity catheter for drainage or dialysis, open procedure	14	13	$817.57	$170.43
49422 Removal of abdominal cavity catheter	14	12	$861.14	$157.38
36818 Relocation of arm vein with connection to arm artery, open procedure	14	14	$1460.57	$670.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$274.54	$203.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	121	$148.00	$103.96
93970 Ultrasound study of arm or leg veins with compression and maneuvers	127	125	$104.00	$34.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$150.00	$105.41
36821 Relocation of arm vein with connection to arm artery, open procedure	98	95	$1100.00	$660.03
93990 Ultrasound of dialysis access	97	79	$51.00	$24.65
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	97	94	$33.35	$14.50
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	96	96	$68.00	$22.56
99213 Established patient office or other outpatient visit, typically 15 minutes	92	65	$101.00	$71.73
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	61	51	$560.00	$244.53
35011 Repair of diseased or bulging (aneurysm) artery of arm	59	59	$2640.00	$1010.70
36830 Connection of tube graft to vein and artery for dialysis	58	58	$1872.00	$658.79
37607 Tying or banding of a passage between an artery and vein	55	54	$775.00	$218.21
93922 Ultrasound study of arm and leg arteries	44	43	$37.00	$12.48
93880 Ultrasound of both sides of head and neck blood flow	36	36	$91.00	$40.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$186.00	$136.12
49324 Insertion of abdominal cavity catheter using an endoscope	26	25	$548.00	$373.38
49326 Suture of internal abdominal lining using an endoscope	23	23	$470.00	$193.98
36832 Revision of dialysis graft, open procedure	22	21	$1715.00	$744.35
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	21	21	$380.00	$168.99
36819 Relocation of arm vein with connection to arm artery, open procedure	21	21	$1680.00	$724.14
93923 Complete ultrasound study of arm and leg arteries	20	17	$68.00	$22.26
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	19	16	$105.00	$12.69
36818 Relocation of arm vein with connection to arm artery, open procedure	19	19	$1440.00	$656.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$61.00	$43.03
49422 Removal of abdominal cavity catheter	18	15	$849.00	$288.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$55.00	$39.06
36907 Balloon dilation of dialysis segment with review by radiologist	14	13	$325.00	$151.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$272.00	$201.56
35903 Removal of infected graft of arm or leg	13	12	$1410.00	$512.17
49421 Insertion of abdominal cavity catheter for drainage or dialysis, open procedure	13	11	$806.00	$162.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	144	$148.00	$104.05
93990 Ultrasound of dialysis access	189	123	$51.00	$24.57
93970 Ultrasound study of arm or leg veins with compression and maneuvers	143	139	$104.00	$34.73
99213 Established patient office or other outpatient visit, typically 15 minutes	123	92	$101.00	$70.00
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	121	113	$45.08	$16.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$150.00	$104.01
36821 Relocation of arm vein with connection to arm artery, open procedure	110	108	$1100.00	$663.44
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	108	81	$560.00	$218.66
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	97	94	$68.00	$21.56
93880 Ultrasound of both sides of head and neck blood flow	91	91	$91.00	$39.66
93922 Ultrasound study of arm and leg arteries	74	70	$37.00	$12.47
36830 Connection of tube graft to vein and artery for dialysis	73	68	$1872.00	$642.18
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	53	51	$380.00	$146.57
37607 Tying or banding of a passage between an artery and vein	44	41	$775.00	$248.55
36819 Relocation of arm vein with connection to arm artery, open procedure	32	31	$1680.00	$723.04
36907 Balloon dilation of dialysis segment with review by radiologist	31	27	$325.00	$127.12
36832 Revision of dialysis graft, open procedure	31	31	$1715.00	$699.05
35011 Repair of diseased or bulging (aneurysm) artery of arm	29	29	$2640.00	$1026.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$186.00	$135.43
36818 Relocation of arm vein with connection to arm artery, open procedure	22	22	$1440.00	$667.24
49326 Suture of internal abdominal lining using an endoscope	19	19	$470.00	$193.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$61.00	$42.41
49324 Insertion of abdominal cavity catheter using an endoscope	19	19	$548.00	$394.40
49422 Removal of abdominal cavity catheter	18	18	$849.00	$311.50
93923 Complete ultrasound study of arm and leg arteries	18	17	$68.00	$22.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	11	$105.00	$12.27
36589 Removal of central venous catheter for infusion	17	17	$322.00	$99.44
35903 Removal of infected graft of arm or leg	15	13	$1410.00	$514.97
93926 Ultrasound of one leg arteries or artery grafts	13	12	$60.00	$24.26

Medical Specialties & State Licenses

CMS Verified: 2020-10-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO R1J28

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

202545612 (MO)

Commercial Insurance / Payer ID Railroad Medicare

770001238 (MO)

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

12266 De Paul Dr, Bridgeton, MO 630442514

Phone: 3147700991

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

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Radiology - Vascular & Interventional Radiology

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Surgery

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Doctor of Medicine (M.D.)

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Internal Medicine - Nephrology

NPI 1235367160

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address October 26, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

✅

NPI Profile Active October 29, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2007

Registered at 12266 DEPAUL DR., SUITE 305, BRIDGETON, MO 630442516 (Tel: 3147700991)

📍

Updated Business Mailing Address October 29, 2007

Registered at 12266 DEPAUL DR., SUITE 305, BRIDGETON, MO 630442516 (Tel: 3147700991)

👤

Provider Name / Credentials Updated October 29, 2007

Recorded as MICHAEL REYNOLDS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2007

Surgery (License #R1J28 in MO)

🟢

Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689686065

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2006

Last Update: October 26, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.