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LLOYD K RICHLESS M.D.
NPI 1609923697
Family Medicine in New Kensington, PA

Active since January 04, 2007PECOS EnrolledCLIA 39D0950777 · Waiver
251 7TH ST, SUITE 201B, NEW KENSINGTON, PA 15068(724) 335-6662(724) 335-3010 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lloyd K Richless M.d. NPPES

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

LLOYD K RICHLESS M.D. (NPI 1609923697) is an individual family medicine provider in New Kensington, Pennsylvania, licensed in Pennsylvania (MD 027711E) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 7, 2028, and is affiliated with Acmh Hospital.

NPPES Registry Identity

NPI1609923697
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLLOYD K RICHLESSCredential: M.D.
Location Address251 7TH ST, SUITE 201BNew Kensington, PA 15068-6534
Mailing Address251 7th St, Suite 201bNew Kensington, PA 15068-6534 · (724) 335-6662 · Fax (724) 335-3010
Phone(724) 335-6662
Fax(724) 335-3010
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1981
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609923697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD 027711E
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.
251 7TH ST, New Kensington, PA 15068
Open in Google Maps ↗

Other Identifiers 8

Other252044PA · Upmc
Medicare ID-Type Unspecified461863PA
Other306284PA · Health Assurance
Other466675PA · Aetna Us Healthcare
Medicare UPINB42044PA
Medicaid1021909PA
Other1006735PA · Gateway
Other461863PA · Bc Bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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 (PECOS)

Lloyd K Richless M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567622277
PECOS Enrollment IDI20120404000206
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 Reassignment

Medicare enrollment records show Lloyd Richless reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lloyd K. Richless MD PC
Same address
General Practice
251 SEVENTH ST, SUITE 201B
New Kensington, PA 15068
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1710376546 (724) 335-6662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0950777

Lloyd K Richless MD · New Kensington, PA
Active · expires Sep 7, 2028
CLIA Number39D0950777
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorLloyd K. Richless MD
Laboratory Phone(724) 335-6662
Laboratory LocationLloyd K Richless MD251 7th Street Suite 201B, New Kensington, PA 15068
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Affiliations CMS Care Compare

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

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15068 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 10

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

DARIUS SAGHAFI, MD
Internal Medicine
251 7TH ST, SUITE C204
NEW KENSINGTON, PA 15068
Westmoreland County (724) 339-1633
DR. KRISHNA GOPAL GUPTA MD
Urology
251 7TH ST, SUITE C202
NEW KENSINGTON, PA 15068
Westmoreland County (724) 337-8404
DARIUS SAGHAFI MD
Internal Medicine
251 7TH ST, STE C204
NEW KENSINGTON, PA 15068
Westmoreland County (724) 339-1633
JASHWANT K SHARMA MD
Internal Medicine
251 7TH ST, SUITE C204
NEW KENSINGTON, PA 15068
Westmoreland County (724) 339-1633
JAY WINIESKY P.A.C.
Physician Assistant (Medical)
251 7TH ST, SUITE 201B
NEW KENSINGTON, PA 15068
Westmoreland County (724) 335-6662
DARIUS SAGHAFI MD LLC
Internal Medicine
251 7TH ST, SUITE C204
NEW KENSINGTON, PA 15068
Westmoreland County (724) 339-1633
ALLEGHENY CLINIC
Urology
251 7TH ST, SUITE C202
NEW KENSINGTON, PA 15068
Westmoreland County (724) 337-8404
S.J.ANTOON UROLOGICAL ASSOC.
Clinical Medical Laboratory
251 7TH ST, SUITE C202
NEW KENSINGTON, PA 15068
Westmoreland County (724) 337-8404

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 Lloyd Richless's NPI number?

The NPI number for Lloyd Richless is 1609923697. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Lloyd Richless located?

Lloyd Richless practices at 251 7th St Suite 201B, New Kensington, PA 15068. The listed phone number is (724) 335-6662.

What is Lloyd Richless's specialty?

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

Is Lloyd Richless enrolled in Medicare?

Yes. Lloyd Richless is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lloyd Richless's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lloyd Richless reassigns Medicare benefits to Lloyd K. Richless MD PC (New Kensington, PA). The 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 Lloyd Richless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Lloyd Richless hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0950777) is associated with this NPI, valid through September 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lloyd Richless accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lloyd Richless 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 Lloyd Richless affiliated with any hospitals?

According to CMS data, Lloyd Richless is affiliated with Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Lloyd Richless was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.