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MARCUS RICHARDSON DPM
NPI 1699161638
Podiatrist - Foot & Ankle Surgery in Urbana, OH

Active since April 07, 2015PECOS Enrolled
83.28/100
CMS Quality Rating
970 E US HIGHWAY 36 STE B, URBANA, OH 43078(937) 653-6105 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcus Richardson Dpm NPPES

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

MARCUS RICHARDSON DPM (NPI 1699161638) is an individual foot & ankle surgery provider in Urbana, Ohio, licensed in Ohio (36.003884) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699161638
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMARCUS RICHARDSONCredential: DPM
Location Address970 E US HIGHWAY 36 STE BUrbana, OH 43078
Mailing Address272 Hospital RdChillicothe, OH 45601-9031
Phone(937) 653-6105
Sole ProprietorYes
Enumeration DateApril 7, 2015
Last NPPES UpdateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1699161638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OH · 36.003884
970 E US HIGHWAY 36 STE B, Urbana, OH 43078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcus Richardson Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.
171 services100 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 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.
43 services21 patients
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.
23 services21 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
12 services11 patients

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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier22 claims22 services$206.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. JOHN SCOTT PHILLIPS DPM
Podiatrist
970 E US HIGHWAY 36 STE B
URBANA, OH 43078
Champaign County (937) 653-6105
DR. SUSAN YU DPM
Podiatrist (Foot & Ankle Surgery)
970 E US HIGHWAY 36 STE B
URBANA, OH 43078
Champaign County (937) 645-0102

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 Marcus Richardson's NPI number?

The NPI number for Marcus Richardson is 1699161638. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Marcus Richardson located?

Marcus Richardson practices at 970 E Us Highway 36 Ste B, Urbana, OH 43078. The listed phone number is (937) 653-6105.

What is Marcus Richardson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Marcus Richardson enrolled in Medicare?

Yes. Marcus Richardson is registered in the Medicare PECOS enrollment system.

What insurance does Marcus Richardson accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Marcus 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.

When was this NPI record last updated?

The NPPES record for Marcus Richardson was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.