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DR. RICHARD A MADDALENA M.D.
NPI 1275540023
Obstetrics & Gynecology in Yuba City, CA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
969 PLUMAS ST, SUITE 103, YUBA CITY, CA 95991(530) 749-3585(530) 749-3499 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Richard A Maddalena M.d. NPPES

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

DR. RICHARD A MADDALENA M.D. (NPI 1275540023) is an individual obstetrics & gynecology provider in Yuba City, California, licensed in California (A50220) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1275540023
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RICHARD A MADDALENACredential: M.D.
Location Address969 PLUMAS ST, SUITE 103Yuba City, CA 95991-4011
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(530) 749-3585
Fax(530) 749-3499
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1275540023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A50220
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.
969 PLUMAS ST, Yuba City, CA 95991
Open in Google Maps ↗

Other Identifiers 2

Medicaid00A502200CA
OtherP00785494CA · Railroad Medicare

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. Richard A Maddalena M.d. 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 ID3072403989
PECOS Enrollment IDI20040316000770
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 Richard Maddalena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation
0.7 mi
Multi-Specialty
480 PLUMAS BLVD
Yuba City, CA 95991
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1992939565 (530) 749-3661

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
45 services45 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services17 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.
26 services20 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
21 services21 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95991 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 9

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

MANINDERJIT K. ATWAL M.D.
Obstetrics & Gynecology
969 PLUMAS ST, SUITE 103
YUBA CITY, CA 95991
Sutter County (530) 749-3585
SUTTER NORTH MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
969 PLUMAS ST
YUBA CITY, CA 95991
Sutter County (530) 749-3662
DR. APARNA LAKSHMI KARETI M.D.
Obstetrics & Gynecology
969 PLUMAS ST, SUITE 103
YUBA CITY, CA 95991
Sutter County (530) 749-3500
DR. KAREN HONG DO
Obstetrics & Gynecology
969 PLUMAS ST, STE 116
YUBA CITY, CA 95991
Sutter County (530) 749-3585
MRS. LORI ANN MEINKING CNM
Advanced Practice Midwife
969 PLUMAS ST, SUITE 103
YUBA CITY, CA 95991
Sutter County (530) 749-3585
BRUCE L HILGER M.D.
Obstetrics & Gynecology
969 PLUMAS ST, SUITE 116
YUBA CITY, CA 95991
Sutter County (530) 749-3585
DENNIS G. BECHINI, D.O. PC
Obstetrics & Gynecology
969 PLUMAS ST, SUITE 206
YUBA CITY, CA 95991
Sutter County (530) 751-3880
KAREN B CALLAHAN F.N.P.
Nurse Practitioner
969 PLUMAS ST, STE 103
YUBA CITY, CA 95991
Sutter County (530) 749-3585

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 Maddalena's NPI number?

The NPI number for Richard Maddalena is 1275540023. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Richard Maddalena located?

Richard Maddalena practices at 969 Plumas St Suite 103, Yuba City, CA 95991. The listed phone number is (530) 749-3585.

What is Richard Maddalena's specialty?

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

Is Richard Maddalena enrolled in Medicare?

Yes. Richard Maddalena 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 Richard Maddalena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Maddalena reassigns Medicare benefits to Sutter Valley Medical Foundation (Yuba City, CA). 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 Richard Maddalena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Maddalena was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.