RICHARD ELDON ROYAL M.D.
NPI 1598901316
Surgery in Portland, ME

Active since December 29, 2008PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
887 CONGRESS ST, PORTLAND, ME 04102(207) 774-6368(207) 774-9388 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2019, Jul 15, 2019 (2 updates tracked since 2019).

About Richard Eldon Royal M.d. NPPES

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

RICHARD ELDON ROYAL M.D. (NPI 1598901316) is an individual surgery provider in Portland, Maine, licensed in Maine (MD23049) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Oregon Health Sciences University School Of Medicine (1988).

NPPES Registry Identity

NPI1598901316
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD ELDON ROYALCredential: M.D.
Location Address887 CONGRESS STPortland, ME 04102-3100
Mailing Address887 Congress StPortland, ME 04102-3100 · (207) 774-6368 · Fax (207) 774-9388
Fax(207) 774-9388
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1988
Enumeration DateDecember 29, 2008
Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration
NPI 1598901316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in ME · MD23049
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License MD23049 (ME)
887 CONGRESS ST, Portland, ME 04102

Accepted 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 Eldon Royal 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 ID7618032368
PECOS Enrollment IDI20190722002984
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 9

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.
156 services113 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.
75 services75 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
30 services30 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
26 services20 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.
26 services26 patients
Biopsy or removal of deep lymph nodes of neck 38510
A biopsy or removal of deep neck lymph nodes is a procedure where a small sample of tissue is taken from your neck's lymph nodes. This test helps diagnose diseases like cancer. It involves a small incision and is usually performed under anesthesia.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102
Pediatrics (Pediatric Gastroenterology)
887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Surgery
887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102
Pediatrics (Pediatric Nephrology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Obstetrics & Gynecology (Maternal & Fetal Medicine)
887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102

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 Royal's NPI number?

The NPI number for Richard Royal is 1598901316. It was assigned to this individual provider in the NPPES registry on December 29, 2008.

Where is Richard Royal located?

Richard Royal practices at 887 Congress St, Portland, ME 04102. The listed phone number is (207) 774-6368.

What is Richard Royal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Royal enrolled in Medicare?

Yes. Richard Royal 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 Royal accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Richard Royal 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 Royal affiliated with any hospitals?

According to CMS data, Richard Royal is affiliated with Northern Light Health, Maine Medical Center, Mid Coast Hospital and Penobscot Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Royal was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.