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DR. BENJAMIN RUSSELL RICHARDSON D.O.
NPI 1215222013
Obstetrics & Gynecology in Show Low, AZ

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment
5171 CUB LAKE RD STE B210, SHOW LOW, AZ 85901(928) 537-0635(928) 532-8957 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Russell Richardson D.o. NPPES

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

DR. BENJAMIN RUSSELL RICHARDSON D.O. (NPI 1215222013) is an individual obstetrics & gynecology provider in Show Low, Arizona, licensed in Arizona (006656) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215222013
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. BENJAMIN RUSSELL RICHARDSONCredential: D.O.
Location Address5171 CUB LAKE RD STE B210Show Low, AZ 85901-7866
Mailing Address5171 Cub Lake Rd Ste 210Show Low, AZ 85901-7888 · (928) 537-0635 · Fax (928) 532-8957
Phone(928) 537-0635
Fax(928) 532-8957
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 9, 2011
Last NPPES UpdateMarch 8, 2017
✔ NPI 1215222013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 006656
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5171 CUB LAKE RD STE B210, Show Low, AZ 85901
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Other Identifiers 2

Medicaid022296AZ
Medicare PINZ183792AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Dr. Benjamin Russell Richardson D.o. 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 ID941510598
PECOS Enrollment IDI20151218001730
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 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 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.
70 services40 patients
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.
23 services19 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients
Pessary, reusable, non rubber, any type A4562
A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85901 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES

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

JEFFREY S. IZENBERG, DO, LTD
Obstetrics & Gynecology
5171 CUB LAKE RD STE B210
SHOW LOW, AZ 85901
Navajo County (928) 532-8386

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 Benjamin Richardson's NPI number?

The NPI number for Benjamin Richardson is 1215222013. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Benjamin Richardson located?

Benjamin Richardson practices at 5171 Cub Lake Rd Ste B210, Show Low, AZ 85901. The listed phone number is (928) 537-0635.

What is Benjamin Richardson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Benjamin Richardson enrolled in Medicare?

Yes. Benjamin 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 Benjamin Richardson accept?

Health plans from Blue Cross Blue Shield of Arizona list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Richardson was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.