RICHARD D. CALHOUN DPM
NPI 1043653041
Podiatrist - Foot & Ankle Surgery in Middlesboro, KY

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
3504 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 248-0737 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1043653041
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameRICHARD D. CALHOUNCredential: DPM
Location Address3504 CUMBERLAND AVEMiddlesboro, KY 40965
Mailing Address3504 Cumberland AveMiddlesboro, KY 40965-2612 · (614) 266-0086
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 10, 2013
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
NPI 1043653041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in KY · 282972
3504 CUMBERLAND AVE, Middlesboro, KY 40965

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 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.

PECOS PAC ID2365738887
PECOS Enrollment IDI20170411002334, I20230427000653
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.

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, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Medicare 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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Clinic/Center (Rural Health)
3504 CUMBERLAND AVE
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.

What insurance does Richard Calhoun accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee 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 October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.