RICHARD J III REYNOLDS (MD) – Internal Medicine Physician, NPI 1477518520

RICHARD J III REYNOLDS (MD) is a healthcare provider. based in Murrieta, California. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. C36017 (CA). The NPI Number for RICHARD J III REYNOLDS (MD) is 1477518520

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD J III REYNOLDS (MD)
NPI
1477518520
Phone
(951) 698-0440
Address
25109 Jefferson Ave Ste 100
Enumeration Date
20 April 2006
Last Update Date
10 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9516980440
Graduation Year
1972 (54 years ago)
PAC ID
8325146038
Group Practice PAC ID
9739136516
Professional Enrollment ID
I20070604000618
Address ID
CA925628117MU25109AVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for RICHARD J III REYNOLDS (MD)

  • 25109 Jefferson Ave Ste 100

    Murrieta, CA 925628117

    Phone: (951) 698-0440

    Fax: (888) 896-1496

    Type: Location

  • 25109 JEFFERSON AVE STE 100

    MURRIETA, CA 925628117

    Phone: (951) 698-0440

    Fax: (888) 694-7606

    Type: Location

  • Malvern Post Office, Martin Luther King Boulevard, Malvern, Hot Spring County, Arkansas, 72104, United States

    ATT: IPM CREDENTIALING

    MALVERN, PA 193550746

    Phone: (760) 731-8989

    Fax: (760) 731-8988

    Type: Mailing

  • 591, East Elder Street, Fallbrook, San Diego County, California, 92028, United States

    SUITE C

    FALLBROOK, CA 920285001

    Phone: (760) 731-8989

    Type: Location

  • 1545 W FLORIDA AVE

    HEMET, CA 925433814

    Phone: (951) 791-1111

    Fax: (888) 856-3893

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $678.

Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($103).

Total Amount

$678

General + Research + Ownership

Payments

33

Total payment records

General Amount

$678

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070604000618IInternal MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14386$0
99214Established patient office or other outpatient visit, 30-39 minutes6754$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit3333$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2121$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 92562)

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Provider's Procedures

RICHARD J III REYNOLDS (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECA90670Pneumococcal vaccine for injection into muscle1515

Reviews

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Frequently asked questions

What is the 10-digit NPI for RICHARD J III REYNOLDS (MD)?
RICHARD J III REYNOLDS (MD) — NPI 1477518520 — is the standard way to identify this listing.
Is RICHARD J III REYNOLDS (MD) still practicing?
RICHARD J III REYNOLDS (MD) is currently listed as active in the public NPI registry.
What is RICHARD J III REYNOLDS (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for RICHARD J III REYNOLDS (MD) here. Clinical services aligned with this taxonomy classification.
Does RICHARD J III REYNOLDS (MD) list a practice location?
Patients near Murrieta, California may find RICHARD J III REYNOLDS (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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