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DR. RICHARD MARTIN CHUDACOFF MD
NPI 1740275064
Obstetrics & Gynecology in Wilkes Barre, PA

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
1155 EAST MTN BLVD, WILKES BARRE, PA 18702(570) 808-7916(570) 808-6006 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Dec 27, 2024, Sep 4, 2024 and 2 more (5 updates tracked since 2019).

About Dr. Richard Martin Chudacoff Md NPPES

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

DR. RICHARD MARTIN CHUDACOFF MD (NPI 1740275064) is an individual obstetrics & gynecology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD479668) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1989).

NPPES Registry Identity

NPI1740275064
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RICHARD MARTIN CHUDACOFFCredential: MD
Location Address1155 EAST MTN BLVDWilkes Barre, PA 18702-7906
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7916 · Fax (570) 808-6006
Phone(570) 808-7916
Fax(570) 808-6006
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1989
Enumeration DateSeptember 13, 2005
Last NPPES UpdateNovember 20, 20255 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1740275064 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 · MD479668
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.
1155 EAST MTN BLVD, Wilkes Barre, PA 18702
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Other Identifiers 2

Medicaid11340275064TX
Medicaid115868400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Richard Martin Chudacoff 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 ID4688631385
PECOS Enrollment IDI20250328001287, I20250520001058
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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.

Other Providers at the Same Location NPPES 4

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

LIANA LAVRINC PA-C
Physician Assistant
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-7916
MISS ANNETTE VERONICA WAGNER M.D.
Obstetrics & Gynecology
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-7916
JAMIE MANCHERIL CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-7916
GLENDA KOUNS GRADY ARNP
Nurse Practitioner (Family)
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-6113

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 Chudacoff's NPI number?

The NPI number for Richard Chudacoff is 1740275064. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Richard Chudacoff located?

Richard Chudacoff practices at 1155 East Mtn Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 808-7916.

What is Richard Chudacoff's specialty?

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

Is Richard Chudacoff enrolled in Medicare?

Yes. Richard Chudacoff 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 Chudacoff accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Insurance Company and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Richard Chudacoff 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 Richard Chudacoff was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.