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DR. EDWARD A RICO MD
NPI 1477739423
Internal Medicine - Endocrinology, Diabetes & Metabolism in Terre Haute, IN

Active since January 20, 2008PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
2235 WABASH AVE, TERRE HAUTE, IN 47807(812) 460-5280(812) 645-4334 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Feb 20, 2017 (2 updates tracked since 2017).

About Dr. Edward A Rico Md NPPES

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

DR. EDWARD A RICO MD (NPI 1477739423) is an individual endocrinology, diabetes & metabolism provider in Terre Haute, Indiana, licensed in Indiana (01070170A) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1477739423
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. EDWARD A RICOCredential: MD
Location Address2235 WABASH AVETerre Haute, IN 47807-3330
Mailing Address2235 Wabash AveTerre Haute, IN 47807-3330 · (812) 460-5280 · Fax (812) 645-4334
Phone(812) 460-5280
Fax(812) 645-4334
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateJanuary 20, 2008
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1477739423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in IN · 01070170A✔ Licensed in IL · 036.123914
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2235 WABASH AVE, Terre Haute, IN 47807
Open in Google Maps ↗

Other Identifiers 3

OtherP01117154IN · Railroad Medicare
Medicaid201068530IN
Medicaid036123914IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Edward A Rico 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 ID5698939684
PECOS Enrollment IDI20120601000314, I20161102001230
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
161 services106 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
43 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151326
Location801 S Main StClinton, IN 47842 · Vermillion County
Emergency services

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47807 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
61%349 patients3/55-star benchmark: 93%
Cervical Cancer Screening
40%394 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
84%354 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
63%753 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
77%394 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
83%24 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
52%557 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%558 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,388 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
77%468 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%1,168 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
62%869 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%727 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 58% · 1,015 patients
Patients screened: 66% · 1,015 patients
38%128 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%630 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 477 patients
Patients totalRate: 9% · 502 patients
11%502 patients3/55-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 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers47 claims567 services$18.17 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers40 claims1,320 services$2.29 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
38 suppliers270 claims791 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers60 claims92 services$1.08 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
5 suppliers31 claims62 services$60.44 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
2 suppliers26 claims150 services$37.38 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 2

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

CUSTODIO L. LIM MD
Surgery
2235 WABASH AVE
TERRE HAUTE, IN 47807
Vigo County (812) 234-5273
TERRE HAUTE ENDOCRINOLOGY AND DIABETES LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2235 WABASH AVE
TERRE HAUTE, IN 47807
Vigo County (812) 460-5280

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 Edward Rico's NPI number?

The NPI number for Edward Rico is 1477739423. It was assigned to this individual provider in the NPPES registry on January 20, 2008.

Where is Edward Rico located?

Edward Rico practices at 2235 Wabash Ave, Terre Haute, IN 47807. The listed phone number is (812) 460-5280.

What is Edward Rico's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Edward Rico enrolled in Medicare?

Yes. Edward Rico 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 Edward Rico accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Edward Rico 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 Edward Rico affiliated with any hospitals?

According to CMS data, Edward Rico is affiliated with Sarah Bush Lincoln Health Center, Paris Community Hospital, Union Hospital Inc, Union Hospital Clinton and Sullivan County Community Hospital.

When was this NPI record last updated?

The NPPES record for Edward Rico was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.