RICHARD PRETORIUS MD, MPH
NPI 1013900505
Family Medicine in Irving, NY
About Richard Pretorius Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD PRETORIUS MD, MPH (NPI 1013900505) is an individual family medicine provider in Irving, New York, licensed in Ohio (35-057683) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Pocahontas Community Hospital, and is a graduate of University Of Virginia School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard Pretorius Md, Mph 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.
Medicare Billing Reassignments
14Medicare enrollment records show Richard Pretorius reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 474 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Williamsburg, IA 52361
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1053368191 (Iowa)
- 75 clinicians in this Medicare group
Waverly, IA 50677
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1265402390 (Iowa)
- 96 clinicians in this Medicare group
Pocahontas, IA 50574
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1346241213 (Iowa)
- 52 clinicians in this Medicare group
Carroll, IA 51401
- Reassigned Medicare billing, Iowa enrollment
- 125 clinicians in this Medicare group
Brooten, MN 56316
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1538178520 (Minnesota)
- 111 clinicians in this Medicare group
Verndale, MN 56481
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1477545333 (Minnesota)
- 187 clinicians in this Medicare group
Ida Grove, IA 51445
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1265461180 (Iowa)
- 39 clinicians in this Medicare group
Starbuck, MN 56381
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1366543662 (Minnesota)
- 143 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pocahontas Community Hospital
Critical Access Hospitals · Pocahontas, IAStevens Community Medical Center
Critical Access Hospitals · Morris, MNPerham Health
Critical Access Hospitals · Perham, MNGlacial Ridge Hospital
Critical Access Hospitals · Glenwood, MNSt Francis Medical Center
Critical Access Hospitals · Breckenridge, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVING, NY 14081
IRVING, NY 14081
IRVING, NY 14081
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 Richard Pretorius's NPI number?
The NPI number for Richard Pretorius is 1013900505. It was assigned to this individual provider in the NPPES registry on August 30, 2005.
Where is Richard Pretorius located?
Richard Pretorius practices at 845 Routes 5 & 20, Irving, NY 14081. The listed phone number is (716) 951-7273.
What is Richard Pretorius's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Richard Pretorius enrolled in Medicare?
Yes. Richard Pretorius 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.
Which organizations bill Medicare for Richard Pretorius's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Pretorius reassigns Medicare benefits to 14 organizations: Ohio Emergency Professionals Inc (Columbus, OH), Emergency Professional Services, Inc. (Seaman, OH), Marengo Memorial Hospital (Williamsburg, IA), Floyd County Memorial Hospital Commission (Waverly, IA), Pocahontas Community Hospital (Pocahontas, IA) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Pretorius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Pretorius accept?
Health plans from Oscar Health, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Richard Pretorius 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.
Is Richard Pretorius affiliated with any hospitals?
According to CMS data, Richard Pretorius is affiliated with Pocahontas Community Hospital, Stevens Community Medical Center, Perham Health, Glacial Ridge Hospital and St Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Richard Pretorius was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Richard Pretorius, MD, MPH · NPI 1013900505
Family Medicine physician in Irving, New York. Individual provider, active in the CMS NPPES registry since August 30, 2005.
## Identity
- **NPI:** 1013900505 (Entity type: Individual)
- **Enumerated:** August 30, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35-057683 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 845 ROUTES 5 & 20, Irving, NY 14081-9706
- **Phone:** (716) 951-7273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Ohio Emergency Professionals Inc (NPI 1982983425, Columbus, OH); Emergency Professional Services, Inc. (NPI 1093762353, Seaman, OH); Marengo Memorial Hospital (NPI 1548681216, Williamsburg, IA); Floyd County Memorial Hospital Commission (NPI 1598693830, Waverly, IA); Pocahontas Community Hospital (NPI 1609989581, Pocahontas, IA); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** November 18, 2015
- **Other identifiers:** Medicare UPIN E35035; Medicare ID-Type Unspecified RA2812 (NY); Medicaid 02560378 (NY); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1013900505) · Data from the CMS NPPES public registry.