DEREK M RICHARDSON
NPI 1205061553
Family Medicine in Greenville, NC

Q: What is Derek Richardson's NPI number?

The NPI number for Derek Richardson is 1205061553. It was assigned to this individual provider in the NPPES registry on May 15, 2009. The provider is also known as Derek Richardson MD.

Q: What is Derek Richardson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Richardson was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 15, 2009PECOS Enrolled

315 W 2ND ST, GREENVILLE, NC 27834(252) 507-0588 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2021, Jun 4, 2020, Feb 26, 2020 (3 updates tracked since 2020).

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About Derek M Richardson NPPES

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

DEREK M RICHARDSON (NPI 1205061553) is an individual family medicine provider in Greenville, North Carolina, licensed in North Carolina (2015-02469) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205061553

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDEREK M RICHARDSON

Location Address315 W 2ND STGreenville, NC 27834-1969

Mailing Address64 Bleecker St # 151New York, NY 10012-2410 · (302) 810-1584

Phone(252) 507-0588

Sole ProprietorNo

Enumeration DateMay 15, 2009

Last NPPES UpdateJanuary 28, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2021

✔ NPI 1205061553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2015-02469✔ Licensed in VA · 0101248338✔ Licensed in CO · DR.0053968

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.

Also ListedHospitalistTaxonomy 208M00000X · License 2015-02469 (NC), DR.0053968 (CO)

315 W 2ND ST, Greenville, NC 27834

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Other Names 1

Professional Name (2)Derek Richardson Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek M Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Galileo Medical Group Nc PC

Same address

Internal Medicine

315 W 2ND ST
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
23 clinicians in this Medicare group

NPI 1831660265 (919) 200-0119

Galileo Medical Group Me, PC

398 mi

Family Medicine

632 BROADWAY PH 12
New York, NY 10012

Reassigned Medicare billing, Maine enrollment
15 clinicians in this Medicare group

NPI 1154019313 (347) 588-0601

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims12 services$15.34 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 suppliers23 claims24 services$66.51 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.

DR. GISELLE DEVONNE BLAIR M.D.

Family Medicine