DR. RICHARD A MCNEILLY DO, FCCP
NPI 1093087611
Internal Medicine - Pulmonary Disease in Madison, WV

Active since January 27, 2012PECOS EnrolledAccepts Medicare Assignment
701 MADISON AVE, MADISON, WV 25130(304) 369-1230 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Sep 19, 2024, Sep 1, 2023 and 6 more (9 updates tracked since 2017).

About Dr. Richard A Mcneilly Do, Fccp NPPES

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

DR. RICHARD A MCNEILLY DO, FCCP (NPI 1093087611) is an individual pulmonary disease provider in Madison, West Virginia, licensed in Tennessee (3010) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Lmh, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1093087611
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RICHARD A MCNEILLYCredential: DO, FCCP
Location Address701 MADISON AVEMadison, WV 25130-1669
Mailing Address32 Recter LnSouth Charleston, WV 25309-9663 · (704) 300-9443
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 27, 2012
Last NPPES UpdateNovember 12, 20249 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1093087611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in TN · 3010 Licensed in OH · 58-004978 Licensed in MT · 115288 Licensed in SC · 90050
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 3010 (TN), T-2337 (MS)
701 MADISON AVE, Madison, WV 25130

Secondary Practice Locations 5

Location 12205 Pavilion Dr, SUITE 201BKingsport, TN 37660 · Phone (423) 857-7650 · Fax (423) 857-7655
Location 2350 Heritage Way Ste 2100Kalispell, MT 59901-3167 · Phone (406) 257-8992 · Fax (406) 257-8996
Location 3125 Professional Park DrSeneca, SC 29678-2558 · Phone (864) 482-3000 · Fax (864) 482-4000
Location 41130 W 4th St Ste 2001Lawrence, KS 66044-1345 · Phone (785) 505-3205 · Fax (785) 505-5261
Location 51130 W 4th St Ste 2050Lawrence, KS 66044-1333 · Phone (785) 505-3205 · Fax (785) 505-5261

Other Identifiers 3

Medicaid1093087611VA
MedicaidQ022431TN
Medicaid30005177140001KS

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

Dr. Richard A Mcneilly Do, Fccp 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 ID547568586
PECOS Enrollment IDI20240729002912, I20240822000467
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 9

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.
117 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services82 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.
90 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services55 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.
42 services28 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.
24 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25130 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers26 claims26 services$103.52 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers24 claims62 services$40.20 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers16 claims16 services$21.68 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers23 claims23 services$18.74 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers33 claims167 services$2.46 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
6 suppliers11 claims11 services$13.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner (Family)
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner (Family)
701 MADISON AVE
MADISON, WV 25130
Nurse Practitioner (Family)
701 MADISON AVE
MADISON, WV 25130
General Practice
701 MADISON AVE
MADISON, WV 25130
Physician Assistant
701 MADISON AVE
MADISON, WV 25130
Family Medicine
701 MADISON AVE
MADISON, WV 25130

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 Mcneilly's NPI number?

The NPI number for Richard Mcneilly is 1093087611. It was assigned to this individual provider in the NPPES registry on January 27, 2012.

Where is Richard Mcneilly located?

Richard Mcneilly practices at 701 Madison Ave, Madison, WV 25130. The listed phone number is (304) 369-1230.

What is Richard Mcneilly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Richard Mcneilly enrolled in Medicare?

Yes. Richard Mcneilly 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 Mcneilly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 7 other insurers list Richard Mcneilly 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 Mcneilly affiliated with any hospitals?

According to CMS data, Richard Mcneilly is affiliated with Lmh, Jennie Stuart Medical Center and Genesis Hospital.

When was this NPI record last updated?

The NPPES record for Richard Mcneilly was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.