DR. RICHARD A DEFELICE MD
NPI 1326033770
Emergency Medicine in Vincennes, IN

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
520 S 7TH ST, VINCENNES, IN 47591(812) 882-5220(812) 885-3811 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard A Defelice Md NPPES

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

DR. RICHARD A DEFELICE MD (NPI 1326033770) is an individual emergency medicine provider in Vincennes, Indiana, licensed in Indiana (01039027) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1326033770
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RICHARD A DEFELICECredential: MD
Location Address520 S 7TH STVincennes, IN 47591-1038
Mailing Address520 S 7th StVincennes, IN 47591-1038 · (812) 885-3685 · Fax (812) 885-3917
Fax(812) 885-3811
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 14, 2010
NPI 1326033770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01039027
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

520 S 7TH ST, Vincennes, IN 47591

Other Identifiers 3

Medicare UPINE35184IN
Medicare ID-Type Unspecified941140F7IN
Medicaid200056750IN

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. Richard A Defelice 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 ID4587610431
PECOS Enrollment IDI20050714000807
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 4

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.

Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
115 services115 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
90 services86 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
78 services77 patients
Emergency department visit for problem of mild to moderate severity 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47591 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.39
Promoting Interoperability96
Improvement Activities40
Cost67.66

Other Providers at the Same Location NPPES 20

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

Psychiatric Unit
520 S 7TH ST
VINCENNES, IN 47591
General Practice
520 S 7TH ST
VINCENNES, IN 47591
General Practice
520 S 7TH ST
VINCENNES, IN 47591
Emergency Medicine
520 S 7TH ST
VINCENNES, IN 47591
Emergency Medicine
520 S 7TH ST
VINCENNES, IN 47591
General Practice
520 S 7TH ST
VINCENNES, IN 47591
Pathology (Anatomic Pathology & Clinical Pathology)
520 S 7TH ST
VINCENNES, IN 47591
Social Worker (Clinical)
520 S 7TH ST
VINCENNES, IN 47591

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 Defelice's NPI number?

The NPI number for Richard Defelice is 1326033770. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Richard Defelice located?

Richard Defelice practices at 520 S 7th St, Vincennes, IN 47591. The listed phone number is (812) 882-5220.

What is Richard Defelice's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Richard Defelice enrolled in Medicare?

Yes. Richard Defelice 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 Richard Defelice accept?

Health plans from CareSource and Medica list Richard Defelice 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 Richard Defelice affiliated with any hospitals?

According to CMS data, Richard Defelice is affiliated with Good Samaritan Hospital and Lifecare Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Defelice was last updated on July 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.