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KRISTIN J RICHARDSON M.D.
NPI 1104266980
Internal Medicine - Hematology & Oncology in Hinsdale, IL

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
60.09/100
CMS Quality Rating
1 SALT CREEK LN, HINSDALE, IL 60521(630) 286-5500 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristin J Richardson M.d. NPPES

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

KRISTIN J RICHARDSON M.D. (NPI 1104266980) is an individual hematology & oncology provider in Hinsdale, Illinois, licensed in Illinois (036140041) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Rush Medical College Of Rush University (2013).

NPPES Registry Identity

NPI1104266980
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameKRISTIN J RICHARDSONCredential: M.D.
Location Address1 SALT CREEK LNHinsdale, IL 60521-2936
Mailing Address1 Salt Creek LnHinsdale, IL 60521-2936 · (630) 286-5500
Phone(630) 286-5500
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1104266980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036140041
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1 SALT CREEK LN, Hinsdale, IL 60521
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Kristin J Richardson 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 ID6305145004
PECOS Enrollment IDI20190913001469
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 Reassignment

Medicare enrollment records show Kristin Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ahp Specialty Care Nfp
Same address
Specialist
1 SALT CREEK LN
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1619334406 (630) 286-5500

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.

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.
502 services226 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services69 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.
68 services53 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.
55 services31 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.
49 services37 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

60.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.33
Improvement Activities40
Cost41.54

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers19 claims1,106 services$0.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers17 claims17 services$17.82 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 19

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

PATRICIA J MADEJ MD
Internal Medicine (Hematology & Oncology)
1 SALT CREEK LN
HINSDALE, IL 60521
Dupage County (630) 286-5500
ADVENTIST HEALTH PARTNERS, INC
Internal Medicine (Hematology & Oncology)
1 SALT CREEK LN
HINSDALE, IL 60521
Dupage County (630) 286-5500
DR. PATRICK J SWEENEY M.D.
Radiology (Radiation Oncology)
1 SALT CREEK LN, AMITA HEALTH CANCER INSTITUTE
HINSDALE, IL 60521
Dupage County (630) 286-5500
MICHELLE BARRETTO
Obstetrics & Gynecology (Gynecologic Oncology)
1 SALT CREEK LN
HINSDALE, IL 60521
Dupage County (630) 286-5500
MEGAN MARIE MORONEY APRN
Internal Medicine (Hematology & Oncology)
1 SALT CREEK LN
HINSDALE, IL 60521
Dupage County (312) 343-5218
DAVID TAPIA-HERNANDEZ
Obstetrics & Gynecology (Gynecologic Oncology)
1 SALT CREEK LN
HINSDALE, IL 60521
Dupage County (630) 286-5500
ELYSE C SCHNEIDERMAN MD
Internal Medicine (Hematology & Oncology)
1 SALT CREEK LN
HINSDALE, IL 60521
Dupage County (630) 286-5500
ADVENTIST HEALTH PARTNERS, INC.
Surgery
1 SALT CREEK LN, 2ND FLOOR
HINSDALE, IL 60521
Dupage County (630) 286-5500

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 Kristin Richardson's NPI number?

The NPI number for Kristin Richardson is 1104266980. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Kristin Richardson located?

Kristin Richardson practices at 1 Salt Creek Ln, Hinsdale, IL 60521. The listed phone number is (630) 286-5500.

What is Kristin Richardson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kristin Richardson enrolled in Medicare?

Yes. Kristin Richardson 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 organization bills Medicare for Kristin Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Richardson reassigns Medicare benefits to Ahp Specialty Care Nfp (Hinsdale, IL). The 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 Kristin Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Richardson accept?

Health plans from Oscar Health list Kristin Richardson 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 Kristin Richardson affiliated with any hospitals?

According to CMS data, Kristin Richardson is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Kristin Richardson was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.