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DR. BERTHA PARTHENIA RICHARDSON MD
NPI 1184674707
Internal Medicine - Gastroenterology in Charlotte, NC

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
320 LILLINGTON AVE, SUITE 202, CHARLOTTE, NC 28204(704) 372-0638(704) 372-0632 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bertha Parthenia Richardson Md NPPES

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

DR. BERTHA PARTHENIA RICHARDSON MD (NPI 1184674707) is an individual gastroenterology provider in Charlotte, North Carolina, licensed in North Carolina (21856) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Wake Forest University School Of Medicine (1977).

NPPES Registry Identity

NPI1184674707
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BERTHA PARTHENIA RICHARDSONCredential: MD
Location Address320 LILLINGTON AVE, SUITE 202Charlotte, NC 28204-3188
Mailing Address320 Lillington Ave, Suite 202Charlotte, NC 28204-3188 · (704) 372-0638 · Fax (704) 372-0632
Phone(704) 372-0638
Fax(704) 372-0632
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 1977
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 3, 2016
✔ NPI 1184674707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 21856
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
320 LILLINGTON AVE, Charlotte, NC 28204
Open in Google Maps ↗

Other Identifiers 5

Other21872Partners Healthcare
Other71541Bcbs Of Nc
Medicare ID-Type Unspecified202684NC
Medicaid8971541NC
Medicare UPINC89045

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Dr. Bertha Parthenia Richardson Md 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 ID547243487
PECOS Enrollment IDI20040610001398
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

3

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

The Charlotte-Mecklenburg Hospital Authority
0.5 mi
Internal Medicine
1237 HARDING PL, STE 3300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1598135188 (704) 446-5860
Carolinas Physicians Network Inc
0.5 mi
Neurology
1225 HARDING PL, STE 4100
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1396928230 (704) 377-9323
Atrium Health Specialty Network Inc
8.5 mi
Dermatology
10650 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 300 clinicians in this Medicare group
NPI 1538975636 (704) 667-0340

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
137 services134 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
12%110 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
15%78 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
25%92 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%153 patients5/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
86%57 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%694 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%122 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%264 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
8%193 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 177 patients
Patients tobacco: 85% · 177 patients
18%28 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
60%88 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 122 patients
5%122 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers16 claims40 services$6.59 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 9

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

MICHELLE D OGUNWALE PA-C
Physician Assistant
320 LILLINGTON AVE, SUITE 101
CHARLOTTE, NC 28204
Mecklenburg County (704) 362-4403
PAMELA H. BASHOR CCC-SLP
Speech-Language Pathologist
320 LILLINGTON AVE, SUITE 202
CHARLOTTE, NC 28204
Mecklenburg County (704) 375-5231
FOUR JEWELS HEALTHWAYS INC.
Internal Medicine (Cardiovascular Disease)
320 LILLINGTON AVE, SUITE 201
CHARLOTTE, NC 28204
Mecklenburg County (704) 347-0049
CENTER FOR SPEECH EXCELLENCE INC
Speech-Language Pathologist
320 LILLINGTON AVE, STE 202
CHARLOTTE, NC 28204
Mecklenburg County (704) 375-5231
JESSICA JEANNE FAIVOR M.S. ED.
Speech-Language Pathologist
320 LILLINGTON AVE, SUITE 202
CHARLOTTE, NC 28204
Mecklenburg County (704) 375-5231
BEN O OGUNWALE M.D.
Internal Medicine (Gastroenterology)
320 LILLINGTON AVE, SUITE 101
CHARLOTTE, NC 28204
Mecklenburg County (704) 362-4403
QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC
Internal Medicine (Gastroenterology)
320 LILLINGTON AVE, SUITE 101
CHARLOTTE, NC 28204
Mecklenburg County (704) 362-4403
SHARON M CONTE
Hearing Instrument Specialist
320 LILLINGTON AVE, SUITE 101
CHARLOTTE, NC 28204
Mecklenburg County (704) 332-1574

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 Bertha Richardson's NPI number?

The NPI number for Bertha Richardson is 1184674707. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Bertha Richardson located?

Bertha Richardson practices at 320 Lillington Ave Suite 202, Charlotte, NC 28204. The listed phone number is (704) 372-0638.

What is Bertha Richardson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Bertha Richardson enrolled in Medicare?

Yes. Bertha 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 organizations bill Medicare for Bertha Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bertha Richardson reassigns Medicare benefits to 3 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC), Carolinas Physicians Network Inc (Charlotte, NC) and Atrium Health Specialty Network Inc (Charlotte, NC). 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 Bertha Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bertha Richardson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc list Bertha 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 Bertha Richardson affiliated with any hospitals?

According to CMS data, Bertha Richardson is affiliated with Atrium Health Cleveland.

When was this NPI record last updated?

The NPPES record for Bertha Richardson was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.