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DR. MATTHEW THOMAS RICHARDS M.D.
NPI 1003255332
Surgery in Rehoboth Beach, DE

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment
18947 JOHN J WILLIAMS HWY UNIT 205, REHOBOTH BEACH, DE 19971(302) 703-3595(302) 644-0968 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew Thomas Richards M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW THOMAS RICHARDS M.D. (NPI 1003255332) is an individual surgery provider in Rehoboth Beach, Delaware, licensed in Delaware (C1-0024047) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2013).

NPPES Registry Identity

NPI1003255332
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW THOMAS RICHARDSCredential: M.D.
Location Address18947 JOHN J WILLIAMS HWY UNIT 205Rehoboth Beach, DE 19971-4476
Mailing Address1515 Savannah RdLewes, DE 19958-1675 · (302) 313-2298 · Fax (302) 645-3691
Phone(302) 703-3595
Fax(302) 644-0968
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2013
Enumeration DateJune 20, 2013
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1003255332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in DE · C1-0024047
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
18947 JOHN J WILLIAMS HWY UNIT 205, Rehoboth Beach, DE 19971
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Other Identifiers 1

OtherC1-0024047DE · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Thomas Richards M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830441435
PECOS Enrollment IDI20210922001899
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services88 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services56 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
33 services33 patients
Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081
A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19971 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL DAVID SOFRONSKI M.D.
Specialist
18947 JOHN J WILLIAMS HWY UNIT 205
REHOBOTH BEACH, DE 19971
Sussex County (302) 313-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Richards's NPI number?

The NPI number for Matthew Richards is 1003255332. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Matthew Richards located?

Matthew Richards practices at 18947 John J Williams Hwy Unit 205, Rehoboth Beach, DE 19971. The listed phone number is (302) 703-3595.

What is Matthew Richards's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Richards enrolled in Medicare?

Yes. Matthew Richards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Richards accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Matthew Richards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Richards was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.