JUAN P RICHIUSA M.D.
NPI 1164614434
Obstetrics & Gynecology in Brockton, MA

Q: What is Juan Richiusa's NPI number?

The NPI number for Juan Richiusa is 1164614434. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Q: What is Juan Richiusa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Richiusa was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 10, 2007PECOS EnrolledAccepts Medicare Assignment

680 CENTRE ST, BROCKTON, MA 02302(508) 941-7379(508) 941-6330 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 18, 2024, Sep 30, 2020 (2 updates tracked since 2020).

On this page

About Juan P Richiusa M.d. NPPES

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

JUAN P RICHIUSA M.D. (NPI 1164614434) is an individual obstetrics & gynecology provider in Brockton, Massachusetts, licensed in Massachusetts (236310) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Gulf Coast Medical Center Lee Health, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1164614434

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJUAN P RICHIUSACredential: M.D.

Location Address680 CENTRE STBrockton, MA 02302-3308

Mailing AddressPo Box 919771Orlando, FL 32891-9771 · (239) 278-3600 · Fax (239) 226-4650

Phone(508) 941-7379

Fax(508) 941-6330

Sole ProprietorNo

Medical School CMSPonce School Of MedicineGraduated 2003

Enumeration DateAugust 10, 2007

Last NPPES UpdateApril 18, 20242 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1164614434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MA · 236310✔ Licensed in FL · ME114613

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

680 CENTRE ST, Brockton, MA 02302

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Secondary Practice Location 1

Location 111100 Summer Ridge LaneFort Myers, FL 33908-4064 · Phone (239) 344-2348 · Fax (239) 479-5194

Other Identifiers 1

Medicaid008606100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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

Juan P Richiusa 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 ID9638247877

PECOS Enrollment IDI20130510000212

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

Medicare enrollment records show Juan Richiusa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Massachusetts - Direct, P.C.

Same address

Obstetrics

680 CENTRE ST
Brockton, MA 02302

Reassigned Medicare billing, Massachusetts enrollment
Medicare enrollment name: Obhg Massachusetts - Direct PC
100 clinicians in this Medicare group

NPI 1487229035 (800) 967-2289

Signature Healthcare Medical Group Inc

4.2 mi

Internal Medicine

110 LIBERTY ST
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
409 clinicians in this Medicare group

NPI 1508804949 (508) 894-0400

Family Health Centers Of Southwest Florida Inc

1,211 mi

Federally Qualified Health Center (FQHC)

169 W HICKPOCHEE AVE
Labelle, FL 33935

Reassigned Medicare billing, Florida enrollment
37 clinicians in this Medicare group

NPI 1609037944 (239) 278-3600

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

Hospital Affiliations CMS Care Compare

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

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02302 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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 20

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

LOUIS D. GOTTLIEB M.D.

Internal Medicine

680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302

Plymouth County (508) 941-7065

MS. JAMIE CHYAT PA-C

Physician Assistant

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7000

BRANDEN M TURNER LMHC

Counselor (Mental Health)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

CARLY ALEXANDRA CARLIN MD

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

DR. ANGEL TAYLOR MD

Student in an Organized Health Care Education/Training Program

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 974-7000

DR. DESIREE A CARLSON MD

Pathology (Anatomic Pathology & Clinical Pathology)

680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302

Plymouth County (508) 941-7414

DEMIN MA M.D.

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

JENNIFER L. BUNKER

Social Worker

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7268

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 Juan Richiusa's NPI number?

The NPI number for Juan Richiusa is 1164614434. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Where is Juan Richiusa located?

Juan Richiusa practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7379.

What is Juan Richiusa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Juan Richiusa enrolled in Medicare?

Yes. Juan Richiusa 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 organizations bill Medicare for Juan Richiusa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Richiusa reassigns Medicare benefits to 3 organizations: Obhg Massachusetts - Direct, P.C. (Brockton, MA), Signature Healthcare Medical Group Inc (Brockton, MA) and Family Health Centers Of Southwest Florida Inc (Labelle, FL). 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 Juan Richiusa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Richiusa accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Juan Richiusa 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 Juan Richiusa affiliated with any hospitals?

According to CMS data, Juan Richiusa is affiliated with Gulf Coast Medical Center Lee Health.

When was this NPI record last updated?

The NPPES record for Juan Richiusa was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.