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DR. RICHARD THEODORE BEHLKE M.D.
NPI 1700856168
Obstetrics & Gynecology in Scranton, PA

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
521 MT PLEASANT DR, SUITE 101, SCRANTON, PA 18503(570) 346-7338(570) 341-3025 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard Theodore Behlke M.d. NPPES

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

DR. RICHARD THEODORE BEHLKE M.D. (NPI 1700856168) is an individual obstetrics & gynecology provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD044422E) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Hahnemann University College Of Medicine (1987).

NPPES Registry Identity

NPI1700856168
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RICHARD THEODORE BEHLKECredential: M.D.
Location Address521 MT PLEASANT DR, SUITE 101Scranton, PA 18503-1987
Mailing Address521 Mt Pleasant Dr, Suite 101Scranton, PA 18503-1987 · (570) 346-7338 · Fax (570) 341-3025
Phone(570) 346-7338
Fax(570) 341-3025
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1987
Enumeration DateJanuary 26, 2006
Last NPPES UpdateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1700856168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD044422E
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
521 MT PLEASANT DR, Scranton, PA 18503
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Other Identifiers 1

Medicaid0012377680008PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Theodore Behlke 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 ID7214903509
PECOS Enrollment IDI20040908000819
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
35 services35 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.
33 services20 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
19 services19 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

DR. ANDREA MARISSA TOMASSONI MD
Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Lackawanna County (570) 346-7338
DR. MARC HOWARD RABIN M.D.
Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Lackawanna County (570) 346-7338
GEISINGER CLINIC
Family Medicine
521 MT PLEASANT DR
SCRANTON, PA 18503
Lackawanna County (570) 342-8500
ASHLEY DAVIS DENAPLES CRNP
Nurse Practitioner (Obstetrics & Gynecology)
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Lackawanna County (570) 346-7338
MICHELLE BERMAN MD
Family Medicine
521 MT PLEASANT DR
SCRANTON, PA 18503
Lackawanna County (570) 342-8500
DR. HAROLD J DAVIS M.D.
Obstetrics & Gynecology (Gynecology)
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Lackawanna County (570) 346-7338
DR. GARY LEE REEDY M.D.
Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
SCRANTON, PA 18503
Lackawanna County (570) 346-7338
GEISINGER CLINIC
Surgery
521 MT PLEASANT DR
SCRANTON, PA 18503
Lackawanna County (570) 342-8500

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 Behlke's NPI number?

The NPI number for Richard Behlke is 1700856168. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Richard Behlke located?

Richard Behlke practices at 521 Mt Pleasant Dr Suite 101, Scranton, PA 18503. The listed phone number is (570) 346-7338.

What is Richard Behlke's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Richard Behlke enrolled in Medicare?

Yes. Richard Behlke 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 Behlke accept?

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

According to CMS data, Richard Behlke is affiliated with Geisinger-Community Medical Center, Wilkes-Barre General Hospital and Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Richard Behlke was last updated on August 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.