DR. ALEXANDER LAWRENCE REYNOLDS (D.O.) – Family Medicine Physician, NPI 1124317417
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 FAMILY PRACTICE in AK
Provider Addresses for DR. ALEXANDER LAWRENCE REYNOLDS (D.O.)
8497 RICKENBACKER AVE
673AMDS/SGPF
JBER, AK 99506
Phone: (907) 551-4006
Fax: (907) 551-4001
Type: Mailing
3399 E LOUISE DR STE 100
MERIDIAN, ID 836425212
Phone: (208) 887-6813
Type: Location
90 Hope Dr Bldg 366Mdg
Mountain Home AFB, ID 836481057
Phone: (208) 828-7600
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 836481062
Phone: (208) 828-7600
Type: Mailing
90 HOPE DR BLDG 366MDG
MOUNTAIN HOME AFB, ID 836481057
Phone: (208) 828-7600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Tandem Diabetes Care, Inc. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tandem Diabetes Care, Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230518001868 | I | Family Practice | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 20 | $0 |
Insurance plans in this area (ZIP 99506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
Reviews
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