DAVID M REILLY (M.D.) – Family Medicine Physician, NPI 1053385443
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID M REILLY (M.D.)
3655 KENT DR
NAPLES, FL 341123753
Phone: (606) 875-1369
Type: Mailing
350 HOSPITAL WAY
SUITE 100
SOMERSET, KY 425032872
Phone: (606) 451-2601
Fax: (606) 451-2641
Type: Location
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 339523922
Phone: (941) 624-2704
Fax: (941) 627-6066
Type: Location
Hancock Bridge Parkway, North Star Yacht Club, North Fort Myers, Lee County, Florida, 33903, United States
NORTH FORT MYERS, FL 339037099
Phone: (877) 856-3774
Fax: (239) 599-2612
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-06-28
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 |
|---|---|---|---|---|
| I20100628000493 | I | Family Practice | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Emergency Medicine, Internal Medicine | KY | |
| Internal Medicine | KY | |
| - | KY | |
| Family Practice | KY | |
| Family Practice | KY | |
| Infectious Disease | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Family Practice | KY |
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