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SHAWN MICHAEL RICHMOND M.D.
NPI 1164410445
Family Medicine in Oskaloosa, IA

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
93.73/100
CMS Quality Rating
410 N 12TH ST, OSKALOOSA, IA 52577(641) 672-3360(641) 672-2258 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Michael Richmond M.d. NPPES

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

SHAWN MICHAEL RICHMOND M.D. (NPI 1164410445) is an individual family medicine provider in Oskaloosa, Iowa, licensed in Iowa (33040) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mahaska Health Partnership, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1997).

NPPES Registry Identity

NPI1164410445
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAWN MICHAEL RICHMONDCredential: M.D.
Location Address410 N 12TH STOskaloosa, IA 52577-2495
Mailing Address1229 C Ave EOskaloosa, IA 52577-4246 · (641) 672-3360 · Fax (641) 672-2258
Phone(641) 672-3360
Fax(641) 672-2258
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1997
Enumeration DateOctober 11, 2005
Last NPPES UpdateDecember 3, 2013
✔ NPI 1164410445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 33040
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
410 N 12TH ST, Oskaloosa, IA 52577
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Other Identifiers 2

Medicare UPING74579IA
Other33040IA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Shawn Michael Richmond 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 ID7113839648
PECOS Enrollment IDI20031121000293
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
143 services14 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
100 services12 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
86 services12 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mahaska Health Partnership

Critical Access Hospitals · Oskaloosa, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161379
Location1229 C Avenue EastOskaloosa, IA 52577 · Mahaska County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52577 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

93.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers30 claims63 services$5.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims19 services$0.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims13 services$37.73 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers24 claims59 services$2.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers29 claims29 services$183.16 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 14

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

CHARLES R ARGO M.D.
Family Medicine
410 N 12TH ST, SUITE 300
OSKALOOSA, IA 52577
Mahaska County (641) 672-2571
BRONWYN GUNNINK PA
Physician Assistant
410 N 12TH ST
OSKALOOSA, IA 52577
Mahaska County (641) 672-3360
IOWA RURAL SURGICAL ASSOCIATES, P.C.
Surgery
410 N 12TH ST, SUITE 200
OSKALOOSA, IA 52577
Mahaska County (641) 672-2455
MRS. LORI L BAILEY ARNP
Nurse Practitioner (Family)
410 N 12TH ST, SUITE 100
OSKALOOSA, IA 52577
Mahaska County (641) 672-3360
FAMILY MEDICAL CENTER P C
Family Medicine
410 N 12TH ST, SUITE 300
OSKALOOSA, IA 52577
Mahaska County (641) 672-2571
TONY R KUNZ M.D.
Family Medicine
410 N 12TH ST, SUITE 300
OSKALOOSA, IA 52577
Mahaska County (641) 672-2571
ANNE K WHITIS M.D.
Family Medicine
410 N 12TH ST, SUITE 300
OSKALOOSA, IA 52577
Mahaska County (641) 672-2571
RANDALL C HART M.D.
Family Medicine
410 N 12TH ST, SUITE 300
OSKALOOSA, IA 52577
Mahaska County (641) 672-2571

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 Shawn Richmond's NPI number?

The NPI number for Shawn Richmond is 1164410445. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Shawn Richmond located?

Shawn Richmond practices at 410 N 12th St, Oskaloosa, IA 52577. The listed phone number is (641) 672-3360.

What is Shawn Richmond's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shawn Richmond enrolled in Medicare?

Yes. Shawn Richmond 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 Shawn Richmond accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Shawn Richmond 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 Shawn Richmond affiliated with any hospitals?

According to CMS data, Shawn Richmond is affiliated with Mahaska Health Partnership.

When was this NPI record last updated?

The NPPES record for Shawn Richmond was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.