1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Hospitalist
  6. NPI Profile

RICHARD L GUMMER II M.D.
NPI 1104809771
Hospitalist in Columbus, OH

Active since November 28, 2005PECOS Enrolled
81.3/100
CMS Quality Rating
3555 OLENTANGY RIVER RD, SUITE 1080, COLUMBUS, OH 43214(614) 268-8164(614) 268-8406 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Richard L Gummer Ii M.d. NPPES

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

RICHARD L GUMMER II M.D. (NPI 1104809771) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.083168) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104809771
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRICHARD L GUMMER IICredential: M.D.
Location Address3555 OLENTANGY RIVER RD, SUITE 1080Columbus, OH 43214-3912
Mailing Address3555 Olentangy River Rd, Suite 1080Columbus, OH 43214-3912 · (614) 268-8164 · Fax (614) 268-8406
Phone(614) 268-8164
Fax(614) 268-8406
Sole ProprietorYes
Enumeration DateNovember 28, 2005
Last NPPES UpdateJune 1, 2015
✔ NPI 1104809771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.083168
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.083168 (OH)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 35.083168 (OH)
3555 OLENTANGY RIVER RD, Columbus, OH 43214
Open in Google Maps ↗

Other Identifiers 4

Medicaid2466326OH
Medicare PIN4138692OH
Medicare UPING54124OH
Medicare PIN4138694OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard L Gummer Ii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Richard Gummer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
0.1 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500
Central Ohio Primary Care Physicians, Inc.
9.2 mi
Internal Medicine
655 AFRICA RD
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 675 clinicians in this Medicare group
NPI 1194705194 (614) 326-2672

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

CARDIOTHORACIC AND VASCULAR SURGICAL SPECIALISTS, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3555 OLENTANGY RIVER RD, SUITE 2060
COLUMBUS, OH 43214
Franklin County (614) 261-8377
DR. PATRICK M WALL M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3555 OLENTANGY RIVER RD, SUITE 3050
COLUMBUS, OH 43214
Franklin County (614) 566-4731
ANIMESH SHARMA MD
Hospitalist
3555 OLENTANGY RIVER RD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
PIERRE S BARUA M.D.
Hospitalist
3555 OLENTANGY RIVER RD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
DR. WILLIAM SCOTT BOLZ M.D.
Orthopaedic Surgery
3555 OLENTANGY RIVER RD, SUITE 2010
COLUMBUS, OH 43214
Franklin County (614) 267-0374
DR. RUSKIN B LAWYER JR. M.D.
Orthopaedic Surgery
3555 OLENTANGY RIVER RD, STE 2010
COLUMBUS, OH 43214
Franklin County (614) 566-2540
VENKATESH CHIRRAVURI M.D.
Hospitalist
3555 OLENTANGY RIVER RD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
GINA L TIERNEY CNP
Nurse Practitioner (Adult Health)
3555 OLENTANGY RIVER RD, SUITE 2050
COLUMBUS, OH 43214
Franklin County (614) 566-2450

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 Gummer's NPI number?

The NPI number for Richard Gummer is 1104809771. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Richard Gummer located?

Richard Gummer practices at 3555 Olentangy River Rd Suite 1080, Columbus, OH 43214. The listed phone number is (614) 268-8164.

What is Richard Gummer's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Richard Gummer enrolled in Medicare?

Yes. Richard Gummer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Gummer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Gummer reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Central Ohio Primary Care Physicians, Inc. (Westerville, OH). 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 Gummer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Gummer was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.