RICHARD D. CALHOUN DPM
NPI 1043653041
Podiatrist - Foot & Ankle Surgery in Middlesboro, KY
About Richard D. Calhoun Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD D. CALHOUN DPM (NPI 1043653041) is an individual foot & ankle surgery provider in Middlesboro, Kentucky, licensed in Kentucky (282972) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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 D. Calhoun Dpm 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
2Medicare enrollment records show Richard Calhoun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middlesboro, KY 40965
- Reassigned Medicare billing, Kentucky enrollment
- Also billed through NPI 1932415882 (Kentucky)
- 419 clinicians in this Medicare group
Middlesboro, KY 40965
- Reassigned Medicare billing, Kentucky enrollment
- 89 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Middlesboro Arh Hospital
Acute Care Hospitals · Middlesboro, KYHarlan Arh Hospital
Acute Care Hospitals · Harlan, KYKnox County Hospital
Critical Access Hospitals · Barbourville, KYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLESBORO, KY 40965
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 Calhoun's NPI number?
The NPI number for Richard Calhoun is 1043653041. It was assigned to this individual provider in the NPPES registry on April 10, 2013.
Where is Richard Calhoun located?
Richard Calhoun practices at 3504 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 248-0737.
What is Richard Calhoun's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Richard Calhoun enrolled in Medicare?
Yes. Richard Calhoun 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 Calhoun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Calhoun reassigns Medicare benefits to 2 organizations: Appalachian Regional Healthcare, Inc. (Middlesboro, KY) and Arh Mary Breckinridge Health Services, Inc. (Middlesboro, KY). 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 Calhoun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Calhoun accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Richard Calhoun 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 Calhoun affiliated with any hospitals?
According to CMS data, Richard Calhoun is affiliated with Middlesboro Arh Hospital, Harlan Arh Hospital and Knox County Hospital.
When was this NPI record last updated?
The NPPES record for Richard Calhoun was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.