DR. RICHARD A FIKES DO
NPI 1235176686
Internal Medicine in Belleville, IL

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220(618) 257-6679 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, Apr 9, 2026 (2 updates tracked since 2026).

About Dr. Richard A Fikes Do NPPES

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

DR. RICHARD A FIKES DO (NPI 1235176686) is an individual internal medicine provider in Belleville, Illinois, licensed in Ohio (34008527) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The Mcdowell Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1235176686
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD A FIKESCredential: DO
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address20 Timberknoll LoopPowell, OH 43065-6657 · (614) 440-7424
Fax(618) 257-6679
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1235176686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 34008527
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036170831 (IL), 34-008527 (OH)
4500 MEMORIAL DR, Belleville, IL 62226

Other Identifiers 1

Medicaid2602697OH

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

Dr. Richard A Fikes Do 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 ID648295782
PECOS Enrollment IDI20051007000786, I20230501002846
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services108 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
83 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

Angel Medical Center

Critical Access Hospitals · Franklin, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341326
Location124 Center Court PO Box 1209Franklin, NC 28734 · Macon County
Emergency services

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341329
Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County
Emergency services

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Referred Medical Equipment & Supplies CMS DME claims

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

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
3 suppliers16 claims16 services$64.73 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.

Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226

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 Richard Fikes's NPI number?

The NPI number for Richard Fikes is 1235176686. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Richard Fikes located?

Richard Fikes practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Richard Fikes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Fikes enrolled in Medicare?

Yes. Richard Fikes 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 Richard Fikes accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Richard Fikes 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 Richard Fikes affiliated with any hospitals?

According to CMS data, Richard Fikes is affiliated with The Mcdowell Hospital, Transylvania Regional Hospital, Inc, Angel Medical Center, Blue Ridge Regional Hospital and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Richard Fikes was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.