RICHARD ALAN SEMONES MD
NPI 1356606933
Internal Medicine in Kalamazoo, MI

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
4613 W MAIN ST STE A, KALAMAZOO, MI 49006(269) 488-8672 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Alan Semones Md NPPES

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

RICHARD ALAN SEMONES MD (NPI 1356606933) is an individual internal medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301101692) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1356606933
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD ALAN SEMONESCredential: MD
Location Address4613 W MAIN ST STE AKalamazoo, MI 49006-2698
Mailing Address601 John Street, Box 42Kalamazoo, MI 49007
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2012
Enumeration DateJuly 10, 2012
Last NPPES UpdateJune 11, 2024
NPPES CertifiedJune 11, 2024
NPI 1356606933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301101692
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 4301101692 (MI)
4613 W MAIN ST STE A, Kalamazoo, MI 49006

Secondary Practice Location 1

Location 15943 Stadium Dr, Ste 1Kalamazoo, MI 49009-3016 · Phone (269) 552-2836

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

Richard Alan Semones 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 ID5193956548
PECOS Enrollment IDI20170127001666
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 2

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.
33 services24 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.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49006 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$74.50 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 8

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

Internal Medicine
4613 W MAIN ST STE A
KALAMAZOO, MI 49006
Physician Assistant
4613 W MAIN ST STE A
KALAMAZOO, MI 49006
Internal Medicine
4613 W MAIN ST STE A
KALAMAZOO, MI 49006
Internal Medicine
4613 W MAIN ST STE A
KALAMAZOO, MI 49006
Physician Assistant
4613 W MAIN ST STE A
KALAMAZOO, MI 49006
Registered Nurse (Ambulatory Care)
4613 W MAIN ST STE A
KALAMAZOO, MI 49006
Social Worker (Clinical)
4613 W MAIN ST STE A
KALAMAZOO, MI 49006
Registered Nurse (Case Management)
4613 W MAIN ST STE A
KALAMAZOO, MI 49006

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 Semones's NPI number?

The NPI number for Richard Semones is 1356606933. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Richard Semones located?

Richard Semones practices at 4613 W Main St Ste A, Kalamazoo, MI 49006. The listed phone number is (269) 488-8672.

What is Richard Semones's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Semones enrolled in Medicare?

Yes. Richard Semones 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 Semones accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Richard Semones 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 Semones affiliated with any hospitals?

According to CMS data, Richard Semones is affiliated with Bronson Methodist Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Richard Semones was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.