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DR. MARK ALLEN RICHARDS M.D.
NPI 1285895938
Family Medicine in Charleston, WV

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
500 DONNALLY ST, SUITE 203, CHARLESTON, WV 25301(304) 347-6700(304) 347-6841 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2021, Jan 8, 2021, May 16, 2016 (3 updates tracked since 2016).

About Dr. Mark Allen Richards M.d. NPPES

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

DR. MARK ALLEN RICHARDS M.D. (NPI 1285895938) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (24449) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in South Charleston.

NPPES Registry Identity

NPI1285895938
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK ALLEN RICHARDSCredential: M.D.
Location Address500 DONNALLY ST, SUITE 203Charleston, WV 25301-1648
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800
Phone(304) 347-6700
Fax(304) 347-6841
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateJune 24, 2008
Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1285895938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 24449
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 DONNALLY ST, Charleston, WV 25301
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Secondary Practice Location 1

Location 14605 MacCorkle Ave SWSouth Charleston, WV 25309-1311 · Phone (304) 414-4800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Mark Allen Richards 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 ID446423065
PECOS Enrollment IDI20111027000000
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 7

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.
115 services70 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.
74 services47 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
69 services12 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
53 services16 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.
39 services35 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.
34 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
32%164 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%238 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%416 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
1%167 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%233 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
46%237 patients3/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers23 claims58 services$5.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims15 services$0.83 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$906.26 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 13

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

INTEGRATED HEALTH CARE PROVIDERS, INC.
Durable Medical Equipment & Medical Supplies
500 DONNALLY ST, STE 100
CHARLESTON, WV 25301
Kanawha County (304) 346-0439
MRS. SUSAN DIANE MAYNARD M.S., CCC-A
Audiologist
500 DONNALLY ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 340-2209
DR. LAWRENCE MATTHEW MINARDI
Specialist
500 DONNALLY ST, BLDG B NORTH
CHARLESTON, WV 25301
Kanawha County (304) 343-6219
KATHERYN SEYMOUR MONK M.S.
Audiologist
500 DONNALLY ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 340-2209
MRS. BRENDA DIANE GEORGE M.S., CCC-A
Audiologist
500 DONNALLY ST
CHARLESTON, WV 25301
Kanawha County (304) 340-2222
EAR NOSE & THROAT ASSC OF CHARL INC
Otolaryngology
500 DONNALLY ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 342-0124
LAWRENCE M MINARDI
Eyewear Supplier
500 DONNALLY ST, SUITE 101
CHARLESTON, WV 25301
Kanawha County (304) 346-0292
MR. PHILLIP TODD NICHOLS MD
Otolaryngology
500 DONNALLY ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 342-0124

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 Mark Richards's NPI number?

The NPI number for Mark Richards is 1285895938. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Mark Richards located?

Mark Richards practices at 500 Donnally St Suite 203, Charleston, WV 25301. The listed phone number is (304) 347-6700.

What is Mark Richards's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Richards enrolled in Medicare?

Yes. Mark Richards 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 Mark Richards accept?

Health plans from CareSource list Mark Richards 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 Mark Richards affiliated with any hospitals?

According to CMS data, Mark Richards is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Richards was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.