DR. CORY GLEN RICHARDSON MD
NPI 1295050342
Surgery in Coeur D Alene, ID

Active since April 01, 2010PECOS EnrolledAccepts Medicare Assignment
3318 N GRANDMILL LN, COEUR D ALENE, ID 83814(208) 292-0445(208) 772-6514 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Aug 11, 2022, Mar 16, 2020 and 3 more (6 updates tracked since 2016).

About Dr. Cory Glen Richardson Md NPPES

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

DR. CORY GLEN RICHARDSON MD (NPI 1295050342) is an individual surgery provider in Coeur D Alene, Idaho, licensed in Idaho (M-13357) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1295050342
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CORY GLEN RICHARDSONCredential: MD
Location Address3318 N GRANDMILL LNCoeur D Alene, ID 83814-5689
Mailing Address3318 N Grandmill LnCoeur D Alene, ID 83814-5689 · (208) 292-0445 · Fax (208) 772-6514
Fax(208) 772-6514
Sole ProprietorYes
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2010
Enumeration DateApril 1, 2010
Last NPPES UpdateOctober 7, 20256 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1295050342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in ID · M-13357
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License M-13357 (ID)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License M-13357 (ID)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License M-13357 (ID)
3318 N GRANDMILL LN, Coeur D Alene, ID 83814

Secondary Practice Location 1

Location 12003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-5081

Other Identifiers 1

Medicaid1295050342ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Cory Glen Richardson Md 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 ID6608095815
PECOS Enrollment IDI20160901001559
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 13

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
39 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services32 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.
34 services28 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.
29 services29 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
25 services24 patients
Dilation of stomach outlet using a flexible endoscope 43245
This procedure involves expanding the opening of the stomach using a flexible tube with a light, called an endoscope. It helps improve food passage from the stomach to the small intestine. It's performed under sedation for patient comfort.
21 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Shoshone Medical Center

Critical Access Hospitals · Kellogg, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131314
Location25 Jacobs Gulch RoadKellogg, ID 83837 · Shoshone County
Emergency services

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

Surgery
3318 N GRANDMILL LN
COEUR D ALENE, ID 83814

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 Cory Richardson's NPI number?

The NPI number for Cory Richardson is 1295050342. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Cory Richardson located?

Cory Richardson practices at 3318 N Grandmill Ln, Coeur D Alene, ID 83814. The listed phone number is (208) 292-0445.

What is Cory Richardson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cory Richardson enrolled in Medicare?

Yes. Cory 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.

What insurance does Cory Richardson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Cory 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 Cory Richardson affiliated with any hospitals?

According to CMS data, Cory Richardson is affiliated with Kootenai Health, Northwest Specialty Hospital, Shoshone Medical Center and Bonner General Hospital.

When was this NPI record last updated?

The NPPES record for Cory Richardson was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.