DR. SUSAN KIM REYNOLDS (MD) – Family Medicine Physician, NPI 1700877032
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. SUSAN KIM REYNOLDS (MD)
1215, Vandalia Street, Collinsville, Madison County, Illinois, 62234, United States
COLLINSVILLE, IL 622344060
Phone: (618) 343-6015
Fax: (618) 578-5759
Type: Mailing
401 HOLLY HILLS AVE
SAINT LOUIS, MO 631112410
Phone: (314) 353-5190
Fax: (314) 353-7631
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: 2011-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040602000813 | I | Family Practice | MO | TBD |
| I20110307000477 | I | Family Practice | IL | 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 62234)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 81002 | Urinalysis, manual test | 38 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | MO | |
| - | MO | |
| Family Practice | MO | |
| O P T O M E T R Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Clinical Social Worker | MO | |
| - | MO | |
| O P T O M E T R Y | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO |
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