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RICHARD MARTIN NEDELMAN M.D.
NPI 1629086855
Surgery in Springfield, OH

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
94.03/100
CMS Quality Rating
3152 EL CAMINO DR, SPRINGFIELD, OH 45503(937) 521-1111 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Apr 6, 2021 (2 updates tracked since 2021).

About Richard Martin Nedelman M.d. NPPES

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

RICHARD MARTIN NEDELMAN M.D. (NPI 1629086855) is an individual surgery provider in Springfield, Ohio, licensed in Ohio (OH35-05-9943) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Rutan Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1987).

NPPES Registry Identity

NPI1629086855
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD MARTIN NEDELMANCredential: M.D.
Location Address3152 EL CAMINO DRSpringfield, OH 45503-1318
Mailing Address3152 El Camino DrSpringfield, OH 45503-1318 · (937) 521-1111
Phone(937) 521-1111
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1987
Enumeration DateAugust 3, 2006
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1629086855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · OH35-05-9943
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.
3152 EL CAMINO DR, Springfield, OH 45503
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Other Identifiers 1

Medicaid0807345OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Richard Martin Nedelman 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 ID4880725639
PECOS Enrollment IDI20100623000670
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

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 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45503 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

94.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.3
Promoting Interoperability99
Improvement Activities40
Cost83.87

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 Nedelman's NPI number?

The NPI number for Richard Nedelman is 1629086855. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Richard Nedelman located?

Richard Nedelman practices at 3152 El Camino Dr, Springfield, OH 45503. The listed phone number is (937) 521-1111.

What is Richard Nedelman's specialty?

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

Is Richard Nedelman enrolled in Medicare?

Yes. Richard Nedelman 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 Nedelman accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Richard Nedelman 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 Nedelman affiliated with any hospitals?

According to CMS data, Richard Nedelman is affiliated with Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Richard Nedelman was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.