HOUSTON REYNOLDS (MD) – Family Medicine Physician, NPI 1609498336

HOUSTON REYNOLDS (MD) is a healthcare provider. based in Boise, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MRM-1937 (ID). The NPI Number for HOUSTON REYNOLDS (MD) is 1609498336

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
HOUSTON REYNOLDS (MD)
NPI
1609498336
Phone
(208) 514-2500
Address
777 N RAYMOND ST
Enumeration Date
15 May 2020
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
2088474495
Graduation Year
2020 (6 years ago)
PAC ID
4981027406
Group Practice PAC ID
5395799860
Professional Enrollment ID
I20230907002109
Address ID
ID832541544MO465XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

969 FAMILY PRACTICE in ID

Provider Addresses for HOUSTON REYNOLDS (MD)

  • 777 N RAYMOND ST

    BOISE, ID 837049251

    Phone: (208) 514-2500

    Type: Mailing

  • 215 E HAWAII AVE

    NAMPA, ID 836866011

    Phone: (208) 514-2529

    Type: Location

  • 164 S 5TH ST

    MONTPELIER, ID 832541557

    Phone:

    Type: Mailing

  • 166 S 5th St

    Montpelier, ID 832544959

    Phone: (208) 847-1110

    Fax: (208) 847-0288

    Type: Location

  • 288 S Paradise Pkwy

    Garden City, UT 840287909

    Phone: (435) 255-1630

    Fax: (435) 946-9124

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $293.

Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($140).

Total Amount

$293

General + Research + Ownership

Payments

14

Total payment records

General Amount

$293

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230907002109IFamily PracticeIDTBD
I20250509000918IFamily PracticeUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83704)

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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: 5395799860View full group profile
NameSpecialtyState
General SurgeryWY
Nurse PractitionerID
Orthopedic SurgeryKY
O B S T E T R I C S/ G Y N E C O L O G YWY
Nurse PractitionerID
Family PracticeCO
Physician AssistantID
Physician AssistantUT
Cardiovascular Disease (Cardiology)ID
Clinical Social WorkerID

Reviews

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Frequently asked questions

Can I use this page to confirm HOUSTON REYNOLDS (MD)'s NPI?
Yes. HOUSTON REYNOLDS (MD) is listed with NPI 1609498336 in the public NPI dataset.
Can I rely on HOUSTON REYNOLDS (MD) being an active provider?
As of the registry snapshot, HOUSTON REYNOLDS (MD) is marked active.
What is HOUSTON REYNOLDS (MD)'s primary classification?
Family Medicine Physician is the headline specialty for HOUSTON REYNOLDS (MD) here. Clinical services aligned with this taxonomy classification.
Does HOUSTON REYNOLDS (MD) list a practice location?
Patients near Boise, Idaho may find HOUSTON REYNOLDS (MD) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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