DR. RICHARD STEWART DO
NPI 1003010539
Emergency Medicine in Fort Thomas, KY

NPI Status: Active since June 11, 2007

Contact Information

85 N GRAND AVE
FORT THOMAS, KY
ZIP 41075
Phone: (859) 572-3617

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  • Individual
  • Male
  • Years of Experience 20
  • Emergency Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About RICHARD STEWART

Richard Stewart is a provider established in Fort Thomas, Kentucky and his medical specialization is Emergency Medicine with more than 20 years of experience. He graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2004. The healthcare provider is registered in the NPI registry with number 1003010539 assigned on June 2007. The practitioner's primary taxonomy code is 207P00000X with license number 03339 (KY). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI1003010539
Provider NameDR. RICHARD STEWART DO
Location Address85 N GRAND AVE FORT THOMAS, KY 41075
Location Phone(859) 572-3617
Mailing AddressPO BOX 18667 ERLANGER, KY 41018
GenderMale
Entity TypeIndividual
Medical School NameUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduation Year2004
Is Sole Proprietor?Yes
Enumeration Date06-11-2007
Last Update Date05-07-2015
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Richard Stewart is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.51 for an established patient copayment.

Location Map

Mailing Address

PO BOX 18667
ERLANGER, KY
ZIP 41018
Phone: (859) 572-3617
Fax: (859) 572-2366

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code207P00000X
TypeAllopathic & Osteopathic Physicians
License No.03339
License StateKY
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

34008638 (OH)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2774798MEDICAID (05)OH 
K027200MEDICARE PIN (08)KY 
I74144MEDICARE UPIN (02)OH 
000000291736OTHER (01)OHBCBS
4209152MEDICARE PIN (08)OH 
201047710MEDICAID (05)IN 
7100182240MEDICAID (05)KY 

PECOS Enrollment and Medicare Participation Status

Richard Stewart is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2668571191

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20111022000054, I20201005000185

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 41075 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.75
  • Minimum New Patient Price $54.72
  • Maximum New Patient Price $168.41
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.68
  • Maximum New Patient Copayment $42.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.06
  • Minimum Established Patient Price $16.65
  • Maximum Established Patient Price $137.34
  • Average Established Patient Copayment $24.51
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $34.33

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Richard Stewart is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST ELIZABETH DEARBORN HOSPITAL600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
(812) 537-1010Acute Care Hospitals
ST ELIZABETH FT THOMAS85 NORTH GRAND AVENUE
FORT THOMAS, KY 41075
(859) 572-3100Acute Care Hospitals
ST ELIZABETH EDGEWOOD1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
(859) 301-2000Acute Care Hospitals
ST ELIZABETH FLORENCE4900 HOUSTON ROAD
FLORENCE, KY 41042
(859) 212-5220Acute Care Hospitals
ST ELIZABETH GRANT238 BARNES ROAD
WILLIAMSTOWN, KY 41097
(859) 824-8105Critical Access Hospitals

Reviews for DR. RICHARD STEWART DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003010539
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 5 + 6 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003010539 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912904293 LEE UNDERWOOD HERFEL MD
Individual
Emergency Medicine85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3618
1104819135 SOON PARK MD
Individual
Anesthesiology85 N GRAND AVE
FORT THOMAS, KY 41075
(513) 672-3309
1477546547 ARTURO SIA MD
Individual
Anesthesiology85 N GRAND AVE
FORT THOMAS, KY 41075
(513) 672-3309
1174519540MR. PATRICK LEE HATFIELD CRNA
Individual
Nurse Anesthetist, Certified Registered85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3232
1467448829 LEONARD BEACHY RN
Individual
Nurse Anesthetist, Certified Registered85 N GRAND AVE
FORT THOMAS, KY 41075
(513) 672-3309
1609858612 DAMIAN FRANCIS DOLAN MD
Individual
Anesthesiology85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3232
1548282478DR. JONI L VEST M.D.
Individual
Emergency Medicine85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3617
1982628871DR. RICHARD G. GAUTRAUD M.D.
Individual
Emergency Medicine85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3617
1902910987ST. LUKE HOSPITALS INC
Organization
Obstetrics & Gynecology85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3868
1386777035SR ELIZABETH HEALTHCARE
Organization
General Acute Care Hospital85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3213
1902094972DR. DAVID R KURTZMAN PHARMD
Individual
Pharmacist85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-2474
1891966552INDEPENDENT ANESTHESIOLOGISTS, PSC
Organization
Anesthesiology85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 341-7246
1255505798ST. LUKE HOSPITAL INC.
Organization
Obstetrics & Gynecology85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3868
1144476144MISS MINDY LYNN ORTLIEB OTR/L
Individual
Occupational Therapist85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3120
1346566320 PAULA C PYLES O.T.
Individual
General Acute Care Hospital85 N GRAND AVE CARDINAL HILL REHABILITATION
FORT THOMAS, KY 41075
(270) 401-1716
1477821619SELECT SPECIALTY HOSPITAL - NORTHERN KENTUCKY LLC
Organization
Long Term Care Hospital85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3880
1033203872 RONALD J FREY III PHARM.D.
Individual
Pharmacist85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3214
1659337988 JEFFREY W RUSSELL MD
Individual
Surgery85 N GRAND AVE 2ND FLOOR
FORT THOMAS, KY 41075
(859) 781-2628
1255324307 LYDIA CHANTILAS MD
Individual
Anesthesiology85 N GRAND AVE
FORT THOMAS, KY 41075
(513) 672-3309
1902842073ST ELIZABETH MEDICAL CENTER, INC
Organization
Skilled Nursing Facility85 N GRAND AVE
FORT THOMAS, KY 41075
(859) 572-3100

Frequently Asked Questions

What is Dr. Richard Stewart DO NPI number?

The NPI number assigned to this healthcare provider is 1003010539, enumerated in the NPI registry as an "individual" on June 11, 2007

Where is the provider located?

The provider is located at 85 N Grand Ave Fort Thomas, Ky 41075 and the phone number is (859) 572-3617

What is the provider specialty code?

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

How many years of experience does Dr. Richard Stewart DO have?

The provider has more than 20 years of experience. He graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2004.

What insurance does Dr. Richard Stewart DO accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Richard Stewart DO registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Richard Stewart DO?

Medicare beneficiaries should expect a typical cost of $84.75 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $98.06 and an average copayment of 24.51. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Dr. Richard Stewart DO affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): ST ELIZABETH DEARBORN HOSPITAL, ST ELIZABETH FT THOMAS, ST ELIZABETH EDGEWOOD, ST ELIZABETH FLORENCE and ST ELIZABETH GRANT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on June 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.