RICHARD DAVID DEFELICE M.D.
NPI 1063458495
Internal Medicine - Critical Care Medicine in Sacramento, CA

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
99.97/100
CMS Quality Rating
1508 ALHAMBRA BLVD STE 200, SACRAMENTO, CA 95816(916) 325-1040(916) 669-4100 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard David Defelice M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD DAVID DEFELICE M.D. (NPI 1063458495) is an individual critical care medicine provider in Sacramento, California, licensed in California (G47183) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1974).

NPPES Registry Identity

NPI1063458495
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRICHARD DAVID DEFELICECredential: M.D.
Location Address1508 ALHAMBRA BLVD STE 200Sacramento, CA 95816-6510
Mailing Address1300 Ethan Way, Suite 600Sacramento, CA 95825-2296 · (916) 679-3590 · Fax (916) 482-3647
Fax(916) 669-4100
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1974
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
NPI 1063458495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · G47183
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License G47183 (CA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License G47183 (CA)
1508 ALHAMBRA BLVD STE 200, Sacramento, CA 95816

Other Identifiers 1

Medicaid00G471830CA

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 David Defelice M.d. 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 ID8426950270
PECOS Enrollment IDI20080422000932
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
320 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
139 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services41 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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.

99.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability100
Improvement Activities40
Cost75.07

Reported Quality Measures

Advance Care Plan
0%378 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Infectious Disease)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Nurse Practitioner (Family)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Clinic/Center (Sleep Disorder Diagnostic)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Internal Medicine (Infectious Disease)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
Nurse Practitioner (Acute Care)
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816

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 Defelice's NPI number?

The NPI number for Richard Defelice is 1063458495. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Richard Defelice located?

Richard Defelice practices at 1508 Alhambra Blvd Ste 200, Sacramento, CA 95816. The listed phone number is (916) 325-1040.

What is Richard Defelice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Richard Defelice enrolled in Medicare?

Yes. Richard Defelice 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.

When was this NPI record last updated?

The NPPES record for Richard Defelice was last updated on October 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.