MR. RICHARD ERIC JAMES MADRID M.D.
NPI 1194774158
Family Medicine in Menifee, CA

Q: What is Richard Eric Madrid's NPI number?

The NPI number for Richard Eric Madrid is 1194774158. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Q: What is Richard Eric Madrid's specialty?

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

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment

30420 HAUN RD, MENIFEE, CA 92584(951) 676-4193 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Richard Eric James Madrid M.d. NPPES

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

MR. RICHARD ERIC JAMES MADRID M.D. (NPI 1194774158) is an individual family medicine provider in Menifee, California, licensed in California (A84715) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1194774158

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. RICHARD ERIC JAMES MADRIDCredential: M.D.

Location Address30420 HAUN RDMenifee, CA 92584-6810

Mailing Address28780 Single Oak Dr., Suite 160Temecula, CA 92590-5528 · (951) 676-4193 · Fax (951) 719-1469

Phone(951) 676-4193

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2002

Enumeration DateMay 8, 2006

Last NPPES UpdateFebruary 20, 2020

✔ NPI 1194774158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A84715

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.

30420 HAUN RD, Menifee, CA 92584

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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

Mr. Richard Eric James Madrid 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 ID244269967

PECOS Enrollment IDI20050811000931

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 Richard Eric Madrid reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm

2.5 mi

Dermatology

28125 BRADLEY RD
Sun City, CA 92586

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1053361444 (951) 672-1931

Rancho Family Medical Group, Inc.

12 mi

Family Medicine

28780 SINGLE OAK DR, STE 160
Temecula, CA 92590

Reassigned Medicare billing, California enrollment
117 clinicians in this Medicare group

NPI 1598791600 (951) 676-4193

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 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.

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.

118 services79 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92584 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 4

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

9 suppliers30 claims53 services$3.80 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers19 claims19 services$14.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims19 services$69.37 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

5 suppliers27 claims27 services$195.58 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.

DANIEL CAMARILLO JR. MD

Family Medicine