DR. RICHARD A MCNEILLY DO, FCCP
NPI 1093087611
Internal Medicine - Pulmonary Disease in Madison, WV
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
Specialties & Licenses 2
Secondary Practice Locations 5
Other Identifiers 3
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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Richard Mcneilly reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WV 25130
- Reassigned Medicare billing, West Virginia enrollment
- 159 clinicians in this Medicare group
Chapmanville, WV 25508
- Reassigned Medicare billing, West Virginia enrollment
- 46 clinicians in this Medicare group
Logan, WV 25601
- Reassigned Medicare billing, West Virginia enrollment
- 113 clinicians in this Medicare group
South Charleston, WV 25309
- Reassigned Medicare billing, West Virginia enrollment
- 72 clinicians in this Medicare group
New Lexington, OH 43764
- Reassigned Medicare billing, Ohio enrollment
- 300 clinicians in this Medicare group
Taylors, SC 29687
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Tonganoxie, KS 66086
- Reassigned Medicare billing, Kansas enrollment
- 281 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.
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.
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, KSJennie Stuart Medical Center
Acute Care Hospitals · Hopkinsville, KYGenesis Hospital
Acute Care Hospitals · Zanesville, OHPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Richard Mcneilly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Mcneilly reassigns Medicare benefits to 7 organizations: Boone Memorial Hospital, Inc (Madison, WV), Logan General Hospital LLC (Chapmanville, WV), Apogee Medical Group, West Virginia, PLLC (Logan, WV), Hospitalist Medicine Physicians Of West Virginia- Tcg PLLC (South Charleston, WV), Genesis Medical Group, LLC (New Lexington, OH) and 2 more organizations, listed in the Medicare section above. 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 Mcneilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Mcneilly accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 5 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 23 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.
# Dr. Richard A Mcneilly, DO, FCCP · NPI 1093087611
Pulmonary Disease physician in Madison, West Virginia. Individual provider, active in the CMS NPPES registry since January 27, 2012.
## Identity
- **NPI:** 1093087611 (Entity type: Individual)
- **Enumerated:** January 27, 2012
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 3010 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 MADISON AVE, Madison, WV 25130-1669
- **Phone:** (304) 369-1230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Boone Memorial Hospital, Inc (NPI 1285686725, Madison, WV); Logan General Hospital LLC (NPI 1023742053, Chapmanville, WV); Apogee Medical Group, West Virginia, PLLC (NPI 1669708442, Logan, WV); Hospitalist Medicine Physicians Of West Virginia- Tcg PLLC (NPI 1386122844, South Charleston, WV); Genesis Medical Group, LLC (NPI 1942503099, New Lexington, OH); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** November 12, 2024
- **Other identifiers:** Medicaid 1093087611 (VA); Medicaid Q022431 (TN); Medicaid 30005177140001 (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1093087611) · Data from the CMS NPPES public registry.