ROBERT RICHARDSON
NPI 1255843900
Nurse Practitioner - Acute Care in Birmingham, AL

Active since November 02, 2017PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1802 6TH AVE SOUTH, NP 5240 5TH FLOOR NORTH PAVILLION, BIRMINGHAM, AL 35233(205) 996-9485 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert Richardson NPPES

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

ROBERT RICHARDSON (NPI 1255843900) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-164027) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Vanderbilt University School Of Medicine (2017).

NPPES Registry Identity

NPI1255843900
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameROBERT RICHARDSON
Location Address1802 6TH AVE SOUTH, NP 5240 5TH FLOOR NORTH PAVILLIONBirmingham, AL 35233
Mailing Address1802 6th Ave SBirmingham, AL 35233-1932
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2017
Enumeration DateNovember 2, 2017
✔ NPI 1255843900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-164027
1802 6TH AVE SOUTH, Birmingham, AL 35233

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

Robert Richardson 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 ID9335409077
PECOS Enrollment IDI20191227001969
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

2

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

Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

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 2

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
62 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Registered Nurse
1802 6TH AVE SOUTH
BIRMINGHAM, AL 35233

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 Robert Richardson's NPI number?

The NPI number for Robert Richardson is 1255843900. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Where is Robert Richardson located?

Robert Richardson practices at 1802 6th Ave South Np 5240 5th Floor North Pavillion, Birmingham, AL 35233. The listed phone number is (205) 996-9485.

What is Robert Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Robert Richardson enrolled in Medicare?

Yes. Robert 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.

Which organizations bill Medicare for Robert Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Richardson reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robert Richardson affiliated with any hospitals?

According to CMS data, Robert Richardson is affiliated with Emory University Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Robert Richardson was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.