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JULIA A RICHARDSON MD
NPI 1649895517
Family Medicine in Lake City, IA

Active since June 16, 2020PECOS EnrolledAccepts Medicare Assignment
99.37/100
CMS Quality Rating
1301 W MAIN ST, LAKE CITY, IA 51449(127) 464-7907(712) 464-4132 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Apr 30, 2021, Jun 16, 2020 (3 updates tracked since 2020).

About Julia A Richardson Md NPPES

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

JULIA A RICHARDSON MD (NPI 1649895517) is an individual family medicine provider in Lake City, Iowa, licensed in Iowa (MD-51830) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2020).

NPPES Registry Identity

NPI1649895517
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIA A RICHARDSONCredential: MD
Location Address1301 W MAIN STLake City, IA 51449-1585
Mailing Address1301 W Main StLake City, IA 51449-1585 · (712) 464-4100 · Fax (712) 464-4132
Phone(127) 464-7907
Fax(712) 464-4132
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2020
Enumeration DateJune 16, 2020
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1649895517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · MD-51830
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.
1301 W MAIN ST, Lake City, IA 51449
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Julia A 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 ID9931528163
PECOS Enrollment IDI20231010000516
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 Julia Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stewart Memorial Community Hospital
Same address
Critical Access
1301 W MAIN ST
Lake City, IA 51449
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1013058924 (Iowa)
  • 19 clinicians in this Medicare group
NPI 1063497188 (712) 464-3171

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 3

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
79 services46 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Stewart Memorial Community Hospital

Critical Access Hospitals · Lake City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161350
Location1301 West Main StreetLake City, IA 51449 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51449 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

99.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality95.69
Promoting Interoperability98.95
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.

STEWART MEMORIAL COMMUNITY HOSPITAL
Family Medicine
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-3171
LUKE A LARSON
Physical Therapist
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-3171
TREVOR A CAPRON CRNA
Nurse Anesthetist, Certified Registered
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-3171
STEWART MEMORIAL COMMUNITY HOSPITAL
General Acute Care Hospital (Critical Access)
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-3171
STEWART MEMORIAL COMMUNITY HOSPITAL
Medicare Defined Swing Bed Unit
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-3171
ALEXA SNYDER PA-C
Physician Assistant
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (800) 262-2614
MEGAN ELVA SNYDER PHARM D
Pharmacist
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-4122
CASSANDRA M WETTER R.D.
Dietitian, Registered
1301 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-3171

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 Julia Richardson's NPI number?

The NPI number for Julia Richardson is 1649895517. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Julia Richardson located?

Julia Richardson practices at 1301 W Main St, Lake City, IA 51449. The listed phone number is (127) 464-7907.

What is Julia Richardson's specialty?

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

Is Julia Richardson enrolled in Medicare?

Yes. Julia 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.

Which organization bills Medicare for Julia Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Richardson reassigns Medicare benefits to Stewart Memorial Community Hospital (Lake City, IA). 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 Julia Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Richardson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Julia 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 Julia Richardson affiliated with any hospitals?

According to CMS data, Julia Richardson is affiliated with Trinity Regional Medical Center and Stewart Memorial Community Hospital.

When was this NPI record last updated?

The NPPES record for Julia Richardson was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.