DR. REYNALD POULIOT (M.D.) – Obstetrics & Gynecology Physician, NPI 1003882069

DR. REYNALD POULIOT (M.D.) is a healthcare provider. based in Lauderdale by the sea, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME 36312 (FL). The NPI Number for DR. REYNALD POULIOT (M.D.) is 1003882069

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. REYNALD POULIOT (M.D.)
NPI
1003882069
Phone
(954) 772-3960
Address
265B COMMERCIAL BLVD
Enumeration Date
28 February 2006
Last Update Date
15 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052734641
Graduation Year
1972 (54 years ago)
PAC ID
2769472083
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20040517001340
Address ID
FL331334741MI3225XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. REYNALD POULIOT (M.D.)

  • Commercial Boulevard, Silver Shores, Lauderdale-by-the-Sea, Broward County, Florida, 33308, United States

    LAUDERDALE BY THE SEA, FL 333084442

    Phone: (954) 772-3960

    Fax: (954) 772-3981

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Astellas Pharma US Inc ($118).

Total Amount

$220

General + Research + Ownership

Payments

7

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

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: 2004-05-17

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
I20040517001340IObstetrics/GynecologyFLTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3636$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 33308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

What federal number belongs to DR. REYNALD POULIOT (M.D.)?
The federal identifier for DR. REYNALD POULIOT (M.D.) is NPI 1003882069.
Is DR. REYNALD POULIOT (M.D.)'s NPI currently valid?
The extract we use shows DR. REYNALD POULIOT (M.D.) as active.
Does DR. REYNALD POULIOT (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for DR. REYNALD POULIOT (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. REYNALD POULIOT (M.D.)?
The page summarizes Lauderdale By The Sea, Florida for DR. REYNALD POULIOT (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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