TAMARA ARLEEN REYNOLDS (RD) – Registered Dietitian, NPI 1063719110
Registered Dietitian
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
599 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in NY
Provider Addresses for TAMARA ARLEEN REYNOLDS (RD)
1 GUTHRIE SQ
SAYRE, PA 188401625
Phone: (570) 888-5858
Type: Mailing
1780 HANSHAW RD
ITHACA, NY 14850
Phone: (607) 257-5858
Fax: (607) 257-1718
Type: Location
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.
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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: 2011-03-25
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 |
|---|---|---|---|---|
| I20110325000354 | I | Registered Dietitian Or Nutrition Professional | NY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 44 | 11 | $0 |
Insurance plans in this area (ZIP 18840)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| REGISTERED DIETITIAN OR NUTRITION P | NY | 97802 | Medical nutrition therapy, assessment and intervention, each 15 minutes | 47 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | MA | |
| Nurse Practitioner | PA | |
| - | NY | |
| Nurse Practitioner | PA | |
| Gastroenterology, Internal Medicine | PA | |
| - | PA | |
| Nurse Practitioner | PA |
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