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PATRICK RICHARDSON
NPI 1265984785
Nurse Practitioner - Family in Lawrenceburg, KY

Active since November 01, 2016PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1004 BYPASS N, LAWRENCEBURG, KY 40342(502) 353-4220 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrick Richardson NPPES

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

PATRICK RICHARDSON (NPI 1265984785) is an individual family provider in Lawrenceburg, Kentucky, licensed in Kentucky (3010654) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265984785
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICK RICHARDSON
Location Address1004 BYPASS NLawrenceburg, KY 40342-8049
Mailing Address1004 Bypass NLawrenceburg, KY 40342-8049
Phone(502) 353-4220
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 1, 2016
✔ NPI 1265984785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3010654
1004 BYPASS N, Lawrenceburg, KY 40342
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Patrick 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 ID2668758590
PECOS Enrollment IDI20170407001253
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 Patrick Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc
0.6 mi
Rural Health
1080 GLENSBORO RD
Lawrenceburg, KY 40342
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1629740774 (Kentucky)
  • 1,441 clinicians in this Medicare group
NPI 1487300331 (502) 839-4091

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 5

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 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.
111 services66 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.
84 services63 patients
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.
40 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180127
Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County
Emergency services

Bluegrass Community Hospital

Critical Access Hospitals · Versailles, KY
OwnershipProprietary
CMS Certification Number181308
Location360 Amsden AvenueVersailles, KY 40383 · Woodford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40342 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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 Patrick Richardson's NPI number?

The NPI number for Patrick Richardson is 1265984785. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Patrick Richardson located?

Patrick Richardson practices at 1004 Bypass N, Lawrenceburg, KY 40342. The listed phone number is (502) 353-4220.

What is Patrick Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Patrick Richardson enrolled in Medicare?

Yes. Patrick 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 organization bills Medicare for Patrick Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Richardson reassigns Medicare benefits to Baptist Health Medical Group Inc (Lawrenceburg, KY). The 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 Patrick Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Richardson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Patrick 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 Patrick Richardson affiliated with any hospitals?

According to CMS data, Patrick Richardson is affiliated with Baptist Health Lexington, Frankfort Regional Medical Center and Bluegrass Community Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Richardson was last updated on November 1, 2016. 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.