DR. RICHARD PAUL SOWLLES DPM
NPI 1336192954
Podiatrist in Hamilton, IL

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
95.39/100
CMS Quality Rating
991 BROADWAY, HAMILTON, IL 62341(217) 847-2693(217) 847-3980 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard Paul Sowlles Dpm NPPES

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

DR. RICHARD PAUL SOWLLES DPM (NPI 1336192954) is an individual podiatrist in Hamilton, Illinois, licensed in Illinois (01600419) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of William M. Scholl College Of Podiatric Medicine (1987).

NPPES Registry Identity

NPI1336192954
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. RICHARD PAUL SOWLLESCredential: DPM
Location Address991 BROADWAYHamilton, IL 62341
Mailing Address991 BroadwayHamilton, IL 62341 · (217) 847-2693 · Fax (217) 847-3980
Fax(217) 847-3980
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1987
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 10, 2013
NPI 1336192954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses Licensed in IL · 01600419 Licensed in IA · 00489
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
991 BROADWAY, Hamilton, IL 62341

Other Identifiers 5

Medicare ID-Type Unspecified77850IL
Medicaid016004196IL
Medicare UPINT38985
Medicare NSC0238600001IL
Medicare ID-Type UnspecifiedI4672IA

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 Paul Sowlles Dpm 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 ID8729115183
PECOS Enrollment IDI20100817000373
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 18

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 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.
443 services255 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.
332 services228 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
307 services174 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
304 services163 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
101 services69 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
98 services57 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62341 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

95.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.76
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 Richard Sowlles's NPI number?

The NPI number for Richard Sowlles is 1336192954. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Richard Sowlles located?

Richard Sowlles practices at 991 Broadway, Hamilton, IL 62341. The listed phone number is (217) 847-2693.

What is Richard Sowlles's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Richard Sowlles enrolled in Medicare?

Yes. Richard Sowlles 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 Sowlles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from NH Healthy Families and 4 other insurers list Richard Sowlles 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 Sowlles affiliated with any hospitals?

According to CMS data, Richard Sowlles is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Richard Sowlles was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.