DR. RICHARD K UMSTOT M.D.
NPI 1720174584
Surgery in Charleston, WV

Q: What is Richard Umstot's NPI number?

The NPI number for Richard Umstot is 1720174584. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Richard Umstot's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Umstot was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

1201 WASHINGTON ST E, SUITE 208, CHARLESTON, WV 25301(304) 388-7270(304) 388-7280 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Richard K Umstot M.d. NPPES

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

DR. RICHARD K UMSTOT M.D. (NPI 1720174584) is an individual surgery provider in Charleston, West Virginia, licensed in West Virginia (15137) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (1985).

NPPES Registry Identity

NPI1720174584

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. RICHARD K UMSTOTCredential: M.D.

Location Address1201 WASHINGTON ST E, SUITE 208Charleston, WV 25301-1834

Mailing AddressPo Box 7000Morgantown, WV 26507-7000 · (304) 347-1290 · Fax (304) 347-1397

Phone(304) 388-7270

Fax(304) 388-7280

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1985

Enumeration DateOctober 5, 2006

Last NPPES UpdateMay 31, 2013

✔ NPI 1720174584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WV · 15137✔ Licensed in KY · TP103

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.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 15137 (WV), TP130 (KY)

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 15137 (WV), TP130 (KY)

1201 WASHINGTON ST E, Charleston, WV 25301

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Other Identifiers 3

Medicare PINUM0709705WV

Medicaid0041293000WV

Medicare UPINF17635

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Dr. Richard K Umstot 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 ID1456335579

PECOS Enrollment IDI20050929000005

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.

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

1 supplier12 claims12 services$3.53 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier12 claims350 services$8.47 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier12 claims340 services$3.46 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier14 claims14 services$16.40 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$6.84 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 14

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

INTEGRATED HEALTH CARE PROVIDERS, INC.

Clinical Medical Laboratory

1201 WASHINGTON ST E, SUITE 100
CHARLESTON, WV 25301

Kanawha County (304) 388-6370

DR. GREGORY JARRELL D.O.

Family Medicine

1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301

Kanawha County (304) 347-4600

MR. ANDREW MICHAEL JENKINS CRNA

Nurse Anesthetist, Certified Registered

1201 WASHINGTON ST E
CHARLESTON, WV 25301

Kanawha County (304) 300-1800

DR. JOSHUA MARK LOHRI D.O.

Urology

1201 WASHINGTON ST E, SUITE 105
CHARLESTON, WV 25301

Kanawha County (304) 388-1965

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION

Clinical Medical Laboratory

1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301

Kanawha County (304) 293-5033

JOHN E CAMPBELL MD

Surgery (Vascular Surgery)

1201 WASHINGTON ST E
CHARLESTON, WV 25301

Kanawha County (304) 347-1296

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION

Family Medicine

1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301

Kanawha County (304) 293-5033

INTEGRATED HEALTH CARE PROVIDERS, INC.

Urology

1201 WASHINGTON ST E, SUITE 105
CHARLESTON, WV 25301

Kanawha County (304) 388-1965

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 Umstot's NPI number?

The NPI number for Richard Umstot is 1720174584. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Richard Umstot located?

Richard Umstot practices at 1201 Washington St E Suite 208, Charleston, WV 25301. The listed phone number is (304) 388-7270.

What is Richard Umstot's specialty?

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

Is Richard Umstot enrolled in Medicare?

Yes. Richard Umstot 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 Umstot accept?

Health plans from CareSource list Richard Umstot 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 Umstot affiliated with any hospitals?

According to CMS data, Richard Umstot is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Umstot was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.