FRED RICHARDSON JR. M.D.
NPI 1194702092
Family Medicine in Effingham, IL

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
904 MEDICAL PARK DR, SUITE 3, EFFINGHAM, IL 62401(217) 540-2350(217) 347-2323 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2021, Nov 10, 2016, May 17, 2016 (3 updates tracked since 2016).

About Fred Richardson Jr. M.d. NPPES

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

FRED RICHARDSON JR. M.D. (NPI 1194702092) is an individual family medicine provider in Effingham, Illinois, licensed in Illinois (036078174) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains a secondary practice location in Kankakee.

NPPES Registry Identity

NPI1194702092
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRED RICHARDSON JR.Credential: M.D.
Location Address904 MEDICAL PARK DR, SUITE 3Effingham, IL 62401-2193
Mailing Address904 Medical Park Dr, Suite 3Effingham, IL 62401-2193 · (217) 540-2350 · Fax (217) 347-2323
Fax(217) 347-2323
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1987
Enumeration DateDecember 30, 2005
Last NPPES UpdateApril 1, 20213 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1194702092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036078174
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.

904 MEDICAL PARK DR, Effingham, IL 62401

Secondary Practice Location 1

Location 1455 W Court St Ste 400Kankakee, IL 60901-3695 · Phone (815) 937-8744

Other Identifiers 1

Medicaid036078174IL

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

Fred Richardson Jr. 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 ID1759323116
PECOS Enrollment IDI20050525000886
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services15 patients

Hospital Affiliations CMS Care Compare

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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
13 suppliers26 claims77 services$6.28 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 6

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

Urology
904 MEDICAL PARK DR
EFFINGHAM, IL 62401
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
904 MEDICAL PARK DR, SUITE 1
EFFINGHAM, IL 62401
Licensed Practical Nurse
904 MEDICAL PARK DR, SUITE 2
EFFINGHAM, IL 62401
Registered Nurse (Medical-Surgical)
904 MEDICAL PARK DR, SUITE 2
EFFINGHAM, IL 62401
Registered Nurse (Medical-Surgical)
904 MEDICAL PARK DR, STE 2
EFFINGHAM, IL 62401
Registered Nurse (Medical-Surgical)
904 MEDICAL PARK DR, SUITE 2
EFFINGHAM, IL 62401

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 Fred Richardson's NPI number?

The NPI number for Fred Richardson is 1194702092. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Fred Richardson located?

Fred Richardson practices at 904 Medical Park Dr Suite 3, Effingham, IL 62401. The listed phone number is (217) 540-2350.

What is Fred Richardson's specialty?

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

Is Fred Richardson enrolled in Medicare?

Yes. Fred 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.

Is Fred Richardson affiliated with any hospitals?

According to CMS data, Fred Richardson is affiliated with Rush Oak Park Hospital.

When was this NPI record last updated?

The NPPES record for Fred Richardson was last updated on April 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.