DAVID LEE JR. REYNOLDS (M.D.) – Diagnostic Radiology Physician, NPI 1730107988

DAVID LEE JR. REYNOLDS (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301074306 (MI). The NPI Number for DAVID LEE JR. REYNOLDS (M.D.) is 1730107988

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DAVID LEE JR. REYNOLDS (M.D.)
NPI
1730107988
Phone
(616) 363-7339
Address
3264 N EVERGREEN DR NE
Enumeration Date
17 July 2006
Last Update Date
7 June 2012

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7312401747
Graduation Year
1999 (27 years ago)
PAC ID
9133196702
Group Practice PAC ID
6305893231
Professional Enrollment ID
I20040913001391
Address ID
MI49316XXXXCAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DAVID LEE JR. REYNOLDS (M.D.)

  • Evergreen Drive Northeast, Evergreen Lake Condominiums, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States

    GRAND RAPIDS, MI 495259746

    Phone: (616) 363-7339

    Fax: (616) 361-5828

    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)

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: 2023-10-23

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
I20040913001391IDiagnostic RadiologyMITBD
I20231023000117IDiagnostic RadiologyTNTBD

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
71045X-ray of chest, 1 view944811$0
74177Ct scan of abdomen and pelvis with contrast276272$0
70450Ct scan head or brain without contrast239233$0
71046X-ray of chest, 2 views229228$0
71275Ct scan of blood vessels of chest with contrast157154$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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Provider's Procedures

DAVID LEE JR. REYNOLDS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front564497
DIAGNOSTIC RADIOLOGYMI71250CT scan chest6160
DIAGNOSTIC RADIOLOGYMI73110X-ray of wrist, minimum of 3 views2019
DIAGNOSTIC RADIOLOGYMI73562X-ray of knee, 3 views1414
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views3532
DIAGNOSTIC RADIOLOGYMI76830Ultrasound pelvis through vagina1615
DIAGNOSTIC RADIOLOGYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3939

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: 6305893231View full group profile
NameSpecialtyState
-TN
Nurse PractitionerTN
Diagnostic RadiologyTN
Diagnostic Radiology, Interventional RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID LEE JR. REYNOLDS (M.D.)'s NPI?
Yes. DAVID LEE JR. REYNOLDS (M.D.) is listed with NPI 1730107988 in the public NPI dataset.
Does the file indicate DAVID LEE JR. REYNOLDS (M.D.) is practicing under active NPI?
Directory data currently reports DAVID LEE JR. REYNOLDS (M.D.) as active.
What is DAVID LEE JR. REYNOLDS (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DAVID LEE JR. REYNOLDS (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID LEE JR. REYNOLDS (M.D.)?
DAVID LEE JR. REYNOLDS (M.D.)'s geographic hint is Grand Rapids, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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