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MR. RICHARD KIM ETHEREDGE DC
NPI 1780795294
Chiropractor in Fruitland Park, FL

Active since August 31, 2006Accepts Medicare Assignment
75/100
CMS Quality Rating
3261 US HIGHWAY 441/27, FRUITLAND PARK, FL 34731(352) 365-1191(352) 365-0330 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Richard Kim Etheredge Dc NPPES

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

MR. RICHARD KIM ETHEREDGE DC (NPI 1780795294) is an individual chiropractor in Fruitland Park, Florida, licensed in Florida (CH5758) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - Davenport (1987).

NPPES Registry Identity

NPI1780795294
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. RICHARD KIM ETHEREDGECredential: DC
Location Address3261 US HIGHWAY 441/27Fruitland Park, FL 34731-4497
Mailing Address3261 Us Highway 27/441Fruitland Park, FL 34731-4497 · (352) 365-1191 · Fax (352) 365-0330
Phone(352) 365-1191
Fax(352) 365-0330
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1987
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1780795294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH5758
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3261 US HIGHWAY 441/27, Fruitland Park, FL 34731
Open in Google Maps ↗

Other Identifiers 4

Other22261FL · Bc
Medicare ID-Type UnspecifiedK2507
Medicaid380121700FL
Medicare UPINT54846

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan 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

Mr. Richard Kim Etheredge Dc 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 ID3476524505
PECOS Enrollment IDI20120222000512

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,961 services270 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
225 services37 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
1%784 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
67%784 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%784 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
49%784 patients3/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
3%784 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. DAVID TURNER D.M.D.
Dentist (General Practice)
3261 US HIGHWAY 441/27, SUITE F1
FRUITLAND PARK, FL 34731
Lake County (386) 574-5161

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 Etheredge's NPI number?

The NPI number for Richard Etheredge is 1780795294. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Richard Etheredge located?

Richard Etheredge practices at 3261 Us Highway 441/27, Fruitland Park, FL 34731. The listed phone number is (352) 365-1191.

What is Richard Etheredge's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Richard Etheredge enrolled in Medicare?

Yes. Richard Etheredge 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 Etheredge accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan, UnitedHealthcare and Wellpoint list Richard Etheredge 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 Etheredge was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.