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DR. RICHARD L HARVEY M.D.
NPI 1093758104
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Macon, GA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
380 HOSPITAL DR STE 370, MACON, GA 31217(478) 200-8152 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Sep 16, 2020 (2 updates tracked since 2020).

About Dr. Richard L Harvey M.d. NPPES

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

DR. RICHARD L HARVEY M.D. (NPI 1093758104) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Macon, Georgia, licensed in Georgia (037827) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1093758104
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. RICHARD L HARVEYCredential: M.D.
Location Address380 HOSPITAL DR STE 370Macon, GA 31217-8010
Mailing Address631 Professional Dr, Suite 200Lawrenceville, GA 30046-3367 · (678) 312-3500 · Fax (678) 312-3529
Phone(478) 200-8152
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1992
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1093758104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in GA · 037827
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
380 HOSPITAL DR STE 370, Macon, GA 31217
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Secondary Practice Location 1

Location 1631 Professional Dr, Suite 200Lawrenceville, GA 30046-3367 · Phone (678) 312-3500 · Fax (678) 312-3529

Other Identifiers 3

Other770002651GA · Rail Road
Other52478219GA · Blue Cross
Medicaid00588123EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 L Harvey 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 ID5799760120
PECOS Enrollment IDI20040621001188
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
22 services22 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Reported Quality Measures

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
99%162 patients4/55-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 3

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

DAVID A LANGFORD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
380 HOSPITAL DR STE 370
MACON, GA 31217
Bibb County (478) 200-8152
JAMAAL MICHAEL CRAWFORD MD
Surgery
380 HOSPITAL DR STE 370
MACON, GA 31217
Bibb County (478) 750-8606
MARLYN A LAKE MD
Psychiatry & Neurology (Neurology)
380 HOSPITAL DR STE 370
MACON, GA 31217
Bibb County (478) 219-7735

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 Harvey's NPI number?

The NPI number for Richard Harvey is 1093758104. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Richard Harvey located?

Richard Harvey practices at 380 Hospital Dr Ste 370, Macon, GA 31217. The listed phone number is (478) 200-8152.

What is Richard Harvey's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Richard Harvey enrolled in Medicare?

Yes. Richard Harvey 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 Harvey accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Richard Harvey 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 Harvey affiliated with any hospitals?

According to CMS data, Richard Harvey is affiliated with Houston Healthcare, Fairview Park Hospital and Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Richard Harvey was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.