RICHARD PRETORIUS MD, MPH
NPI 1013900505
Family Medicine in Irving, NY

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
845 ROUTES 5 & 20, IRVING, NY 14081(716) 951-7273 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1013900505
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD PRETORIUSCredential: MD, MPH
Location Address845 ROUTES 5 & 20Irving, NY 14081-9706
Mailing Address845 Routes 5 & 20Irving, NY 14081-9706 · (716) 951-7273
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1986
Enumeration DateAugust 30, 2005
Last NPPES UpdateNovember 18, 2015
NPI 1013900505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35-057683
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 46970 (KY)
845 ROUTES 5 & 20, Irving, NY 14081

Other Identifiers 6

Medicare UPINE35035
Medicare ID-Type UnspecifiedRA2812NY
Medicaid02560378NY
Medicare PIN4312641OH
Medicaid7100319390KY
Medicaid3120563OH

Accepted 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

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.

PECOS PAC ID4688561517
PECOS Enrollment IDI20150515000330
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services18 patients

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, IA
OwnershipGovernment - Local
CMS Certification Number161305
Location606 N W 7th StreetPocahontas, IA 50574 · Pocahontas County
Emergency services

Stevens Community Medical Center

Critical Access Hospitals · Morris, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241363
Location400 East First StreetMorris, MN 56267 · Stevens County
Emergency services Birthing friendly

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Glacial Ridge Hospital

Critical Access Hospitals · Glenwood, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241376
Location10 4th Avenue SoutheastGlenwood, MN 56334 · Pope County
Emergency services

St Francis Medical Center

Critical Access Hospitals · Breckenridge, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number241377
Location2400 St Francis DriveBreckenridge, MN 56520 · Wilkin County
Emergency services

Physician 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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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 8

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

Pharmacist
845 ROUTES 5 & 20, TLC HEALTH NETWORK PHARMACY
IRVING, NY 14081
Clinic/Center (Adult Mental Health)
845 ROUTES 5 & 20
IRVING, NY 14081
Physical Therapist
845 ROUTES 5 & 20
IRVING, NY 14081
Psychiatry & Neurology (Psychiatry)
845 ROUTES 5 & 20
IRVING, NY 14081
Dietitian, Registered
845 ROUTES 5 & 20
IRVING, NY 14081
Pharmacist
845 ROUTES 5 & 20, TLC HEALTH NETWORK LAKE SHORE HEALTH CARE CENTER
IRVING, NY 14081
Dietitian, Registered
845 ROUTES 5 & 20
IRVING, NY 14081
Pharmacy (Long Term Care Pharmacy)
845 ROUTES 5 & 20
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.

What insurance does Richard Pretorius accept?

Health plans from CareSource, Oscar Insurance Company and Sanford Health Plan 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 with the weekly NPPES data releases published by CMS.