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RICHARD M O'DONOVAN M.D.
NPI 1467422949
Internal Medicine - Nephrology in Monroe, LA

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
92.24/100
CMS Quality Rating
711 WOOD ST, STE A, MONROE, LA 71201(318) 323-8847(318) 327-3410 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard M O'donovan M.d. NPPES

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

RICHARD M O'DONOVAN M.D. (NPI 1467422949) is an individual nephrology provider in Monroe, Louisiana, licensed in Louisiana (08579R) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Morehouse General Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1467422949
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRICHARD M O'DONOVANCredential: M.D.
Location Address711 WOOD ST, STE AMonroe, LA 71201-7549
Mailing Address711 Wood St, Ste AMonroe, LA 71201-7549 · (318) 323-8847 · Fax (318) 327-3410
Phone(318) 323-8847
Fax(318) 327-3410
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJanuary 25, 2006
Last NPPES UpdateDecember 3, 2009
✔ NPI 1467422949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in LA · 08579R
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

711 WOOD ST, Monroe, LA 71201
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Other Identifiers 3

Medicare ID-Type Unspecified5N299C410LA
Medicare UPINE61616LA
Medicaid1907090LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, 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 and accepts Medicare assignment

Richard M O'donovan M.d. 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 ID6709839202
PECOS Enrollment IDI20100120000184
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 12

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
596 services174 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
438 services103 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
262 services87 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.
238 services176 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
202 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
163 services85 patients

Hospital Affiliations CMS Care Compare 4

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

Morehouse General Hospital

Acute Care Hospitals · Bastrop, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190116
Location323 W WalnutBastrop, LA 71220 · Morehouse County
Emergency services

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Glenwood Regional Medical Center

Acute Care Hospitals · West Monroe, LA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number190160
Location503 Mcmillan RoadWest Monroe, LA 71291 · Ouachita County
Emergency services

West Carroll Memorial Hospital

Critical Access Hospitals · Oak Grove, LA
OwnershipProprietary
CMS Certification Number191327
Location706 Ross StreetOak Grove, LA 71263 · West Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

92.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.62
Improvement Activities40
Cost74.65

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%29 patients
Breast Cancer Screening
0%161 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%88 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
2%376 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
49%68 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%157 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
76%157 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,139 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%407 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%621 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%604 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%283 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 86% · 335 patients
85%335 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
36%221 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 423 patients
Patients totalRate: 2% · 423 patients
2%423 patients4/55-star benchmark: 100%
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 4

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

Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg J7508
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims10,800 services$0.40 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims4,080 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers34 claims34 services$18.39 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims20 services$12.66 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 7

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

DR. NKEEKAM O ANUMELE M.D., PHARM D.
Internal Medicine
711 WOOD ST, STE A
MONROE, LA 71201
Ouachita Parish (318) 323-8847
MICHAEL R HAND M.D.
Internal Medicine (Nephrology)
711 WOOD ST, STE A
MONROE, LA 71201
Ouachita Parish (318) 323-8847
NORTHEAST LOUISIANA KIDNEY SPECIALISTS,LLC
Internal Medicine (Nephrology)
711 WOOD ST, STE A
MONROE, LA 71201
Ouachita Parish (318) 323-8847
MRS. TAMMY BRADFORD PENNINGTON RD, CSR, LDN
Dietitian, Registered
711 WOOD ST
MONROE, LA 71201
Ouachita Parish (318) 323-8847
KIMBERLY D SHERRILL F.N.P.
Nurse Practitioner (Family)
711 WOOD ST, STE A
MONROE, LA 71201
Ouachita Parish (318) 323-8847
MICHAEL W ARCHIE M.D.
Internal Medicine (Nephrology)
711 WOOD ST, STE A
MONROE, LA 71201
Ouachita Parish (318) 323-8847
DR. FREDERICK BERNARD LEE M.D.
Internal Medicine
711 WOOD ST, STE A
MONROE, LA 71201
Ouachita Parish (318) 323-8847

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 O'donovan's NPI number?

The NPI number for Richard O'donovan is 1467422949. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Richard O'donovan located?

Richard O'donovan practices at 711 Wood St Ste A, Monroe, LA 71201. The listed phone number is (318) 323-8847.

What is Richard O'donovan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Richard O'donovan enrolled in Medicare?

Yes. Richard O'donovan 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 O'donovan accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Richard O'donovan 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 O'donovan affiliated with any hospitals?

According to CMS data, Richard O'donovan is affiliated with Morehouse General Hospital, St Francis Medical Center, Glenwood Regional Medical Center and West Carroll Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Richard O'donovan was last updated on December 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.