RICHMOND PRATER ALLAN MD
NPI 1366494700
Internal Medicine in Spartanburg, SC

Q: What is Richmond Allan's NPI number?

The NPI number for Richmond Allan is 1366494700. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Richmond Allan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richmond Allan was last updated on February 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2006PECOS Enrolled

5.1/100

CMS Quality Rating

1330 BOILING SPRINGS RD, SUITE 2100, SPARTANBURG, SC 29303(864) 573-2145(864) 573-2644 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2017, Nov 9, 2016, Aug 8, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Richmond Prater Allan Md NPPES

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

RICHMOND PRATER ALLAN MD (NPI 1366494700) is an individual internal medicine provider in Spartanburg, South Carolina, licensed in South Carolina (23773) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of Maryland School Of Medicine (1985).

NPPES Registry Identity

NPI1366494700

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRICHMOND PRATER ALLANCredential: MD

Location Address1330 BOILING SPRINGS RD, SUITE 2100Spartanburg, SC 29303-4201

Mailing AddressPo Box 484Easley, SC 29641-0484 · (864) 546-4497 · Fax (864) 546-4506

Phone(864) 573-2145

Fax(864) 573-2644

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1985

Enumeration DateMay 16, 2006

Last NPPES UpdateFebruary 20, 20174 updates tracked since enumeration

✔ NPI 1366494700 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 SC · 23773

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 ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 23773 (SC)

1330 BOILING SPRINGS RD, Spartanburg, SC 29303

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Other Identifiers 6

OtherP00386918GA · Medicare Railroad Ptan #

Medicare NSC5878670017SC

Medicare PINSC0164D196SC

Medicare UPINSC86956672SC

Medicaid237737SC

Medicare UPINSC1064SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richmond Prater Allan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254245509

PECOS Enrollment IDI20031119000519

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

208 services102 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

201 services118 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

182 services88 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

159 services102 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

69 services23 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

45 services21 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

35 services35 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

34 services13 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

31 services30 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

26 services23 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

25 services23 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

24 services22 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

17 services16 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

13 services13 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

12 services12 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

12 services12 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

12 services12 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

5.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Promoting Interoperability

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers18 claims18 services$47.36 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers28 claims28 services$16.56 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers28 claims28 services$83.85 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers11 claims11 services$14.61 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$25.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DAVID H WHITESIDE FNP

Nurse Practitioner

1330 BOILING SPRINGS RD, SUITE 2500
SPARTANBURG, SC 29303

Spartanburg County (864) 585-5433

CARDIOSOM, LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

1330 BOILING SPRINGS RD, SUITE 2900
SPARTANBURG, SC 29303

Spartanburg County (864) 529-3460

SPARTANBURG REGIONAL MED CTR

Pediatrics

1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6345

SPARTANBURG MEDICAL CENTER

Neuromusculoskeletal Medicine & OMM

1330 BOILING SPRINGS RD, SUITE 1800
SPARTANBURG, SC 29303

Spartanburg County (864) 560-9646

GREER GROUP PRACTICE, LLC

Obstetrics & Gynecology (Reproductive Endocrinology)

1330 BOILING SPRINGS RD, SUITE 2200
SPARTANBURG, SC 29303

Spartanburg County (864) 583-2669

ERNEST N MISTR MD

Pediatrics

1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6345

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

Clinical Medical Laboratory

1330 BOILING SPRINGS RD
SPARTANBURG, SC 29303

Spartanburg County (864) 208-1126

LANDRIE FOX MORRIS PA

Physician Assistant (Surgical)

1330 BOILING SPRINGS RD, SUITE 1600
SPARTANBURG, SC 29303

Spartanburg County (864) 582-6396

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 Richmond Allan's NPI number?

The NPI number for Richmond Allan is 1366494700. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Richmond Allan located?

Richmond Allan practices at 1330 Boiling Springs Rd Suite 2100, Spartanburg, SC 29303. The listed phone number is (864) 573-2145.

What is Richmond Allan's specialty?

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

Is Richmond Allan enrolled in Medicare?

Yes. Richmond Allan is registered in the Medicare PECOS enrollment system.

What insurance does Richmond Allan accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Richmond Allan 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 Richmond Allan affiliated with any hospitals?

According to CMS data, Richmond Allan is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Richmond Allan was last updated on February 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.