DR. REID VERNON (MD) – Emergency Medicine Physician, NPI 1104387547

DR. REID VERNON (MD) is a healthcare provider. based in Kettering, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.141919 (OH). The NPI Number for DR. REID VERNON (MD) is 1104387547

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. REID VERNON (MD)
NPI
1104387547
Phone
(937) 395-8839
Address
3525 Southern Blvd
Enumeration Date
28 March 2019
Last Update Date
6 September 2022

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
9372088000
Graduation Year
2019 (7 years ago)
PAC ID
8426399700
Group Practice PAC ID
7810426947
Professional Enrollment ID
I20230214002767
Address ID
OH454092722DA1XXXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for DR. REID VERNON (MD)

  • 3525 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8839

    Fax: (937) 395-8387

    Type: Location

  • 3525, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454291221

    Phone: (937) 395-8839

    Fax: (937) 395-8387

    Type: Location

  • 88 MDG/SGHJ

    4881 SUGAR MAPLE DR

    WRIGHT-PATTERSON AFB, OH, OH 45433

    Phone: (937) 656-3172

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-02-14

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
I20230214002767IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making7878$0
99284Emergency department visit with moderate level of medical decision making4949$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

Loading plans...

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: 7810426947View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Internal MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Physician AssistantOH
Nurse PractitionerOH
Emergency MedicineOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. REID VERNON (MD) using NPI 1104387547?
NPI 1104387547 belongs to DR. REID VERNON (MD); compare other details if you need extra assurance.
Is there an active status for DR. REID VERNON (MD)?
For scheduling context, DR. REID VERNON (MD) is shown as active in the registry.
How would a patient describe DR. REID VERNON (MD)'s focus?
For DR. REID VERNON (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. REID VERNON (MD) registered?
Use Kettering, Ohio as the headline location for DR. REID VERNON (MD) here.
When was this NPI issued?
Enumeration for DR. REID VERNON (MD) is noted as March 28, 2019 where the registry provides it.

Similar Providers

ROBERT L HUNTER (DO)

Family Medicine Physician
1997 Miamisburg Centerville Rd
NPI: 1114920485

GARY E GRIES (MD)

Emergency Medicine Physician
Mercy Health — Queen City Medical Center, 3131, Queen City Avenue, Westwood, Cincinnati, Hamilton County, Ohio, 45238, United States
NPI: 1609871458

DR. CHUN-I JOHN LIN (MD)

Internal Medicine Physician
4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States
NPI: 1518962281

MICHAEL JOSEPH SHUGAR (MD)

Emergency Medicine Physician
1472 SOLUTIONS CTR
NPI: 1861497463

DR. DAVID L MARCUS (MD)

Emergency Medicine Physician
3131 NEWMARK DR STE 220
NPI: 1598761876

Hilton Head Emergency Physicians, Inc.

Emergency Medicine Physician
Hilton Head Hospital, 25, Hospital Center Boulevard, Hilton Head Island, Beaufort County, South Carolina, 29926, United States
NPI: 1326047176

NEW CENTURY PHYSICIANS OF IOWA PC

Emergency Medicine Physician
4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States
NPI: 1548269301
4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States
NPI: 1376542100

Middletown Emergency Physicians, Inc.

Emergency Medicine Physician
4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States
NPI: 1932108784