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DR. RICHARD DAVID LE M.D.
NPI 1528285012
Internal Medicine - Pulmonary Disease in Huntington Beach, CA

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
1119 PINE ST, HUNTINGTON BEACH, CA 92648(714) 369-4819(714) 462-6037 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, May 3, 2023, Apr 23, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Richard David Le M.d. NPPES

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

DR. RICHARD DAVID LE M.D. (NPI 1528285012) is an individual pulmonary disease provider in Huntington Beach, California, licensed in California (A88276) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Garden Grove, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1528285012
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RICHARD DAVID LECredential: M.D.
Location Address1119 PINE STHuntington Beach, CA 92648-2736
Mailing Address1119 Pine StHuntington Beach, CA 92648-2736 · (714) 369-4819 · Fax (714) 369-6245
Phone(714) 369-4819
Fax(714) 462-6037
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 19, 2007
Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1528285012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A88276
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A88276 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A88276 (CA)
1119 PINE ST, Huntington Beach, CA 92648
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Secondary Practice Location 1

Location 112221 Brookhurst St Ste 100Garden Grove, CA 92840-2848 · Phone (714) 805-8260 · Fax (714) 908-8086

Other Identifiers 1

OtherAS443ZCA · Medicare Ptan

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 David Le 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 ID3779642871
PECOS Enrollment IDI20081104000603
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

4

Medicare enrollment records show Richard Le reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richard Le, MD, Fccp
8.2 mi
Critical Care Medicine
12221 BROOKHURST ST STE 100
Garden Grove, CA 92840
  • Reassigned Medicare billing, California enrollment
NPI 1932331469 (714) 805-8260
First Choice Physician Partners
9.4 mi
Gynecology
5152 KATELLA AVE, #106
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1427479203 (562) 431-5000
Chest And Critical Care Consultants A Medical Group
11 mi
Pulmonary Disease
999 N TUSTIN AVE STE 1
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 96 clinicians in this Medicare group
NPI 1407943624 (714) 836-6800
Southern California Permanente Medical Group
14 mi
Health Maintenance Organization
1893 W MALVERN AVE
Fullerton, CA 92833
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1336556059 (877) 608-0044

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 6

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 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.
3,547 services326 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services32 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
91 services87 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services62 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.
50 services21 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92648 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$14.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$54.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Le's NPI number?

The NPI number for Richard Le is 1528285012. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Richard Le located?

Richard Le practices at 1119 Pine St, Huntington Beach, CA 92648. The listed phone number is (714) 369-4819.

What is Richard Le's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Richard Le enrolled in Medicare?

Yes. Richard Le 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 Le's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Le reassigns Medicare benefits to 4 organizations: Richard Le, MD, Fccp (Garden Grove, CA), First Choice Physician Partners (Los Alamitos, CA), Chest And Critical Care Consultants A Medical Group (Santa Ana, CA) and Southern California Permanente Medical Group (Fullerton, CA). 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 Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Le was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.