MICHAEL BLAKE RICHARDSON MD, DPT
NPI 1114474723
Dermatology in Conway, AR

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
4206 PRINCE ST, CONWAY, AR 72034(501) 499-8217(501) 499-8227 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2026, Oct 9, 2025, May 11, 2021 and 2 more (5 updates tracked since 2016).

About Michael Blake Richardson Md, Dpt NPPES

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

MICHAEL BLAKE RICHARDSON MD, DPT (NPI 1114474723) is an individual dermatology provider in Conway, Arkansas, licensed in Arkansas (E-19315) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2021).

NPPES Registry Identity

NPI1114474723
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMICHAEL BLAKE RICHARDSONCredential: MD, DPT
Location Address4206 PRINCE STConway, AR 72034-9398
Mailing Address4206 Prince StConway, AR 72034-9398 · (501) 499-8217 · Fax (501) 499-8227
Fax(501) 499-8227
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2021
Enumeration DateSeptember 1, 2016
Last NPPES UpdateJanuary 18, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2026
NPI 1114474723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AR · E-19315
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

4206 PRINCE ST, Conway, AR 72034

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

Michael Blake Richardson Md, Dpt 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 ID1254619547
PECOS Enrollment IDI20250522001681
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72034 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 4

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

Dermatology
4206 PRINCE ST
CONWAY, AR 72034
Psychologist (Clinical)
4206 PRINCE ST
CONWAY, AR 72034
Psychologist (Clinical)
4206 PRINCE ST
CONWAY, AR 72034
Psychologist (Clinical Child & Adolescent)
4206 PRINCE ST
CONWAY, AR 72034

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 Michael Richardson's NPI number?

The NPI number for Michael Richardson is 1114474723. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Michael Richardson located?

Michael Richardson practices at 4206 Prince St, Conway, AR 72034. The listed phone number is (501) 499-8217.

What is Michael Richardson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Richardson enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Richardson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Richardson was last updated on January 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.