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JAMES RICHARDSON MD
NPI 1528080371
Family Medicine in Sioux Falls, SD

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
625 W 18TH ST, RICHARDSON FAMILY PRACTICE LLC, SIOUX FALLS, SD 57105(605) 275-8800(605) 338-7890 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Richardson Md NPPES

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

JAMES RICHARDSON MD (NPI 1528080371) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (3456) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1988).

NPPES Registry Identity

NPI1528080371
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES RICHARDSONCredential: MD
Location Address625 W 18TH ST, RICHARDSON FAMILY PRACTICE LLCSioux Falls, SD 57105
Mailing Address625 W 18th St, Richardson Family Practice LlcSioux Falls, SD 57105 · (605) 275-8800 · Fax (605) 338-7890
Phone(605) 275-8800
Fax(605) 338-7890
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1988
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 22, 2008
✔ NPI 1528080371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 3456
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.
625 W 18TH ST, Sioux Falls, SD 57105
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Other Identifiers 3

Medicare PINS100483SD
Medicaid5607028SD
Medicare UPINF07422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.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

James Richardson 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 ID2769414903
PECOS Enrollment IDI20050909000395
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.

Hospital Affiliations CMS Care Compare 2

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

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Other Providers at the Same Location NPPES 4

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

ELIZABETH DIMITRIEVICH MD
Obstetrics & Gynecology (Obstetrics)
625 W 18TH ST, OBGYN SPECIALTY CLINIC
SIOUX FALLS, SD 57105
Minnehaha County (605) 338-0836
CIERRA LYNN STUEVEN
Behavior Technician
625 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (435) 767-7929
RICHARDSON FAMILY MEDICINE PROF LLC
Family Medicine
625 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 275-8800
OBGYN SPECIALTY CLINIC PC
Obstetrics & Gynecology
625 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 338-0836

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 James Richardson's NPI number?

The NPI number for James Richardson is 1528080371. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is James Richardson located?

James Richardson practices at 625 W 18th St Richardson Family Practice LLC, Sioux Falls, SD 57105. The listed phone number is (605) 275-8800.

What is James Richardson's specialty?

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

Is James Richardson enrolled in Medicare?

Yes. James Richardson 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 James Richardson accept?

Health plans from Avera Health Plans and Sanford Health Plan list James Richardson 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 James Richardson affiliated with any hospitals?

According to CMS data, James Richardson is affiliated with Brookings Health System and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for James Richardson was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.