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DR. RICHARD DAWSON HAWTHORNE D.O.
NPI 1427355601
Family Medicine in Pensacola, FL

Active since February 23, 2011PECOS EnrolledAccepts Medicare Assignment
6431 N W ST, PENSACOLA, FL 32505(850) 474-3660(850) 474-3659 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Richard Dawson Hawthorne D.o. NPPES

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

DR. RICHARD DAWSON HAWTHORNE D.O. (NPI 1427355601) is an individual family medicine provider in Pensacola, Florida, licensed in Florida (OS11833) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Kansas City University Of Physicians And Surgeons (2008).

NPPES Registry Identity

NPI1427355601
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD DAWSON HAWTHORNECredential: D.O.
Location Address6431 N W STPensacola, FL 32505-1719
Mailing Address6431 N W StPensacola, FL 32505-1719 · (850) 474-3660 · Fax (850) 474-3659
Phone(850) 474-3660
Fax(850) 474-3659
Sole ProprietorYes
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2008
Enumeration DateFebruary 23, 2011
Last NPPES UpdateMay 15, 2013
✔ NPI 1427355601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS11833
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6431 N W ST, Pensacola, FL 32505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Dawson Hawthorne D.o. 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 ID3072798982
PECOS Enrollment IDI20121114000263
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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Hawthorne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pensacola Primary Care Inc
3.6 mi
Family Medicine
2120 EAST JOHNSON AVENUE, SUITE 103
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 28 clinicians in this Medicare group
NPI 1982643169 (850) 494-3965

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.
560 services193 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
113 services113 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32505 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
60%289 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
52%863 patients3/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
84%312 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%5,090 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%15,746 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
65%507 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
62%1,669 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%287 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%1,661 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%1,628 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,520 patients
Patients tobacco: 97% · 1,519 patients
90%378 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,661 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
50%1,661 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%1,661 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
100%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers18 claims52 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims27 services$0.99 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
1 supplier17 claims17 services$16.54 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$46.13 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers20 claims20 services$5.94 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$31.39 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 3

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

MRS. SUE-ANN-MARIE SCOTT TRACY APRN, FNP-BC
Nurse Practitioner (Family)
6431 N W ST
PENSACOLA, FL 32505
Escambia County (850) 494-4600
INTELLIRAD IMAGING, LLC
Radiology (Diagnostic Radiology)
6431 N W ST
PENSACOLA, FL 32505
Escambia County (850) 494-4600
MRS. MY-HANH THI INMAN APRN
Nurse Practitioner (Family)
6431 N W ST
PENSACOLA, FL 32505
Escambia County (850) 494-3660

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 Hawthorne's NPI number?

The NPI number for Richard Hawthorne is 1427355601. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Richard Hawthorne located?

Richard Hawthorne practices at 6431 N W St, Pensacola, FL 32505. The listed phone number is (850) 474-3660.

What is Richard Hawthorne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Hawthorne enrolled in Medicare?

Yes. Richard Hawthorne 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.

Which organization bills Medicare for Richard Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Hawthorne reassigns Medicare benefits to Pensacola Primary Care Inc (Pensacola, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Hawthorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Hawthorne accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Richard Hawthorne 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 Hawthorne affiliated with any hospitals?

According to CMS data, Richard Hawthorne is affiliated with Sacred Heart Hospital, Baptist Hospital and Hca Florida West Hospital.

When was this NPI record last updated?

The NPPES record for Richard Hawthorne was last updated on May 15, 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.