ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1447479878

ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) is a healthcare provider. based in San antonio, Texas. specializing in PREVENTIVE MEDICINE, FAMILY PRACTICE, UNDERSEA AND HYPERBARIC MEDICINE. They hold the professional credentials MD, CWSP. They hold a License No. H2721 (TX). The NPI Number for ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) is 1447479878

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ROLLAND CLINTON JR. REYNOLDS (MD, CWSP)
NPI
1447479878
Phone
(210) 494-1100
Address
2935 THOUSAND OAKS
Enumeration Date
24 April 2007
Last Update Date
16 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8307439728
Graduation Year
1986 (40 years ago)
PAC ID
3375674187
Group Practice PAC ID
7618384629
Professional Enrollment ID
I20100623000105
Address ID
TX781633324BU32357NXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

96 PREVENTIVE MEDICINE in TX

Provider Addresses for ROLLAND CLINTON JR. REYNOLDS (MD, CWSP)

  • 2935 THOUSAND OAKS

    SUITE 294

    SAN ANTONIO, TX 782473312

    Phone: (210) 494-1100

    Fax: (210) 494-1117

    Type: Mailing

  • 1305 WONDER WORLD DR

    SAN MARCOS, TX 786667533

    Phone: (512) 353-6430

    Fax: (512) 353-6431

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $292.

Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Medtronic, Inc. ($149).

Total Amount

$292

General + Research + Ownership

Payments

3

Total payment records

General Amount

$292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2010-06-23

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
I20100623000105IPreventive MedicineTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9767$0
11042Removal of skin and tissue, 20.0 sq cm or less7664$0
29581Application of vein wound compression bandages on lower leg, ankle, and foot2619$0
97610Therapy procedure using ultrasound1814$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 78247)

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Provider's Procedures

ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) performs procedures in PREVENTIVE MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PREVENTATIVE MEDICINETX11042Removal of skin and tissue first 20 sq cm or less698177
PREVENTATIVE MEDICINETX93922Ultrasound study of arteries of both arms and legs9393

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: 7618384629View full group profile
NameSpecialtyState
Family PracticeTX
Cardiac Surgery, Thoracic SurgeryTX

Reviews

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Frequently asked questions

Does ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) have a public NPI I can cite?
Public records show ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) under NPI 1447479878.
Does the public listing show ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) as active?
ROLLAND CLINTON JR. REYNOLDS (MD, CWSP)'s NPI record reflects an active status in NPPES.
Which specialty label fits ROLLAND CLINTON JR. REYNOLDS (MD, CWSP)?
NPPES ties ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) to Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ROLLAND CLINTON JR. REYNOLDS (MD, CWSP)?
The directory associates ROLLAND CLINTON JR. REYNOLDS (MD, CWSP) with San Antonio, Texas. Check all listed addresses for suites or satellite offices.
Who maintains ROLLAND CLINTON JR. REYNOLDS (MD, CWSP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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