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: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Oct 23, 2023 (2 updates tracked since 2023).

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 · (606) 248-0737 · Fax (606) 248-0739
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 10, 2013
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ 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, 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.

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.

Medicare Billing Reassignments

2

Medicare 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.

Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1932415882 (Kentucky)
  • 419 clinicians in this Medicare group
Rural Health
3504 CUMBERLAND AVE
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, 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 10

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

Nurse Practitioner (Family)
3504 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Internal Medicine
3504 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
3504 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Physician Assistant
3504 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Family Medicine
3504 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Family Medicine
3504 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Internal Medicine (Hematology & Oncology)
3504 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
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.

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.