TYRUN KEITH RICHARDSON M.D.
NPI 1205834074
Urology in Springfield, MO

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
1965 S FREMONT AVE, STE 370, SPRINGFIELD, MO 65804(417) 820-0300 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyrun Keith Richardson M.d. NPPES

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

TYRUN KEITH RICHARDSON M.D. (NPI 1205834074) is an individual urology provider in Springfield, Missouri, licensed in Missouri (2016012292) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1983).

NPPES Registry Identity

NPI1205834074
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTYRUN KEITH RICHARDSONCredential: M.D.
Location Address1965 S FREMONT AVE, STE 370Springfield, MO 65804-2201
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1983
Enumeration DateJuly 14, 2005
Last NPPES UpdateJune 16, 2016
NPI 1205834074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in MO · 2016012292 Licensed in KS · 04-33531 Licensed in OK · 31026
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1965 S FREMONT AVE, Springfield, MO 65804

Other Identifiers 11

Medicaid200615150AKS
Medicare PING93000005
Medicaid200456750HOK
Medicaid200566690AOK
Medicare PINPENDINGMO
Medicare PIN110403003
Medicare UPINA10622
MedicaidPENDINGMO
Medicare PINOKA105715OK
MedicaidPENDINGAR
Medicare PIN383334YK1NOK

Accepted Insurance

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

Tyrun Keith Richardson 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 ID2668407115
PECOS Enrollment IDI20051004000130
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 21

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
363 services287 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.
284 services239 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
181 services152 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
181 services154 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
53 services40 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
47 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims2,755 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers34 claims5,590 services$1.69 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier17 claims195 services$6.00 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
2 suppliers12 claims330 services$3.47 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 20

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

Pharmacist
1965 S FREMONT AVE, SUITE 140
SPRINGFIELD, MO 65804
Surgery
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Pediatrics (Pediatric Pulmonology)
1965 S FREMONT AVE, STE 220
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Urology
1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804
Physician Assistant
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Internal Medicine (Geriatric Medicine)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804

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 Tyrun Richardson's NPI number?

The NPI number for Tyrun Richardson is 1205834074. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Tyrun Richardson located?

Tyrun Richardson practices at 1965 S Fremont Ave Ste 370, Springfield, MO 65804. The listed phone number is (417) 820-0300.

What is Tyrun Richardson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tyrun Richardson enrolled in Medicare?

Yes. Tyrun 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.

What insurance does Tyrun Richardson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica, Octave and UnitedHealthcare list Tyrun 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 Tyrun Richardson affiliated with any hospitals?

According to CMS data, Tyrun Richardson is affiliated with Mercy Hospital Lebanon and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Tyrun Richardson was last updated on June 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.