1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Obstetrics Gynecology
  6. NPI Profile

RICHARD T EDEN MD
NPI 1477589992
Obstetrics & Gynecology - Gynecology in Springfield, IL

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
900 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541(217) 525-0121 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard T Eden Md NPPES

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

RICHARD T EDEN MD (NPI 1477589992) is an individual gynecology provider in Springfield, Illinois, licensed in Illinois (036119111) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1990).

NPPES Registry Identity

NPI1477589992
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameRICHARD T EDENCredential: MD
Location Address900 N 1ST STSpringfield, IL 62702-3749
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541 · Fax (217) 528-8962
Phone(217) 528-7541
Fax(217) 525-0121
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1990
Enumeration DateJune 25, 2006
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1477589992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036119111
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 036119111 (IL)
900 N 1ST ST, Springfield, IL 62702
Open in Google Maps ↗

Other Identifiers 1

Medicaid036119111IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Richard T Eden 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 ID42314312
PECOS Enrollment IDI20070813000659
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 Reassignments

2

Medicare enrollment records show Richard Eden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Springfield Clinic, LLP
1.4 mi
Multi-Specialty
1025 S 6TH ST
Springfield, IL 62703
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1215974415 (Illinois)
  • 735 clinicians in this Medicare group
NPI 1780638478 (217) 528-7541
Pana Community Hospital Association
38 mi
Family Medicine
118 N WALNUT ST
Assumption, IL 62510
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1942326970 (Illinois)
  • 98 clinicians in this Medicare group
NPI 1487843959 (217) 226-3133

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 3

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.
42 services41 patients
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.
21 services18 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

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.

AMY N MANN APRN
Nurse Practitioner (Gerontology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
BETH A KILLAM CNM
Advanced Practice Midwife
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
DUSTIN STEHLING MD
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
BRANDON N. LANDSVERK PA
Physician Assistant
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
CHRISTI A. SABATKA PT
Physical Therapist
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
PETER M.C. HOFMANN M.D.
Colon & Rectal Surgery
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
NORA TAYLOR MACZURA MD
Obstetrics & Gynecology (Gynecologic Oncology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
KERRILYN HEWELL MD
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541

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 Eden's NPI number?

The NPI number for Richard Eden is 1477589992. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Richard Eden located?

Richard Eden practices at 900 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Richard Eden's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Richard Eden enrolled in Medicare?

Yes. Richard Eden 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 organizations bill Medicare for Richard Eden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Eden reassigns Medicare benefits to 2 organizations: Springfield Clinic, LLP (Springfield, IL) and Pana Community Hospital Association (Assumption, IL). Each 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 Eden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Eden accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Richard Eden 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 Eden affiliated with any hospitals?

According to CMS data, Richard Eden is affiliated with Memorial Medical Center and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Richard Eden was last updated on March 26, 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.