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

Q: 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.

Q: What is Benjamin Richardson's specialty?

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

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment

4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901(928) 537-6700(928) 532-2198 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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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 Address4951 S WHITE MOUNTAIN RD BLDG AShow Low, AZ 85901-7827

Mailing Address4951 S White Mountain Rd Bldg AShow Low, AZ 85901-7827 · (928) 537-6700 · Fax (928) 532-2198

Phone(928) 537-6700

Fax(928) 532-2198

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 9, 2011

Last NPPES UpdateAugust 6, 2026

NPPES CertifiedAugust 6, 2026

✔ 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.

4951 S WHITE MOUNTAIN RD BLDG A, Show Low, AZ 85901

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Other Identifiers 1

Medicaid022296AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Healthcare Medical Associates

Same address

Family Medicine

4951 S WHITE MOUNTAIN RD BLDG A
Show Low, AZ 85901

Reassigned Medicare billing, Arizona enrollment
99 clinicians in this Medicare group

NPI 1467878108 (928) 537-6700

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 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 20

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

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