DR. RICHARD J BIGGERSTAFF M.D.
NPI 1841357266
Otolaryngology in Indianapolis, IN

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
37.77/100
CMS Quality Rating
8040 CLEARVISTA PARKWAY, SUITE 350, INDIANAPOLIS, IN 46256(317) 844-7059(317) 819-0044 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2024, Jun 18, 2021 (2 updates tracked since 2021).

About Dr. Richard J Biggerstaff M.d. NPPES

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

DR. RICHARD J BIGGERSTAFF M.D. (NPI 1841357266) is an individual otolaryngology provider in Indianapolis, Indiana, licensed in Indiana (01028929A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1979).

NPPES Registry Identity

NPI1841357266
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RICHARD J BIGGERSTAFFCredential: M.D.
Location Address8040 CLEARVISTA PARKWAY, SUITE 350Indianapolis, IN 46256-4673
Mailing Address10201 N Illinois St Ste 110Carmel, IN 46290-1172 · (317) 844-7059 · Fax (317) 819-0044
Fax(317) 819-0044
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1979
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
NPI 1841357266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IN · 01028929A
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

8040 CLEARVISTA PARKWAY, Indianapolis, IN 46256

Other Identifiers 2

Other040014662IN · Medicare Railroad
Medicaid100238770IN

Accepted 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 J Biggerstaff 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 ID3476698846
PECOS Enrollment IDI20100310000241
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 7

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.
125 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
19 services19 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.
19 services18 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

37.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35
Promoting Interoperability0
Improvement Activities0
Cost90.91

Other Providers at the Same Location NPPES 8

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

Plastic Surgery
8040 CLEARVISTA PARKWAY, SUITE 210
INDIANAPOLIS, IN 46256
Obstetrics & Gynecology
8040 CLEARVISTA PARKWAY, SUITE 520
INDIANAPOLIS, IN 46256
Nurse Practitioner (Pediatrics)
8040 CLEARVISTA PARKWAY, SUITE 460
INDIANAPOLIS, IN 46256
Surgery (Surgical Oncology)
8040 CLEARVISTA PARKWAY, SUITE 290
INDIANAPOLIS, IN 46256
Surgery
8040 CLEARVISTA PARKWAY, SUITE 290
INDIANAPOLIS, IN 46256
Surgery (Surgical Oncology)
8040 CLEARVISTA PARKWAY, SUITE 290
INDIANAPOLIS, IN 46256
Orthopaedic Surgery
8040 CLEARVISTA PARKWAY, SUITE 500
INDIANAPOLIS, IN 46256
Surgery
8040 CLEARVISTA PARKWAY, SUITE 490
INDIANAPOLIS, IN 46256

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 Biggerstaff's NPI number?

The NPI number for Richard Biggerstaff is 1841357266. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Richard Biggerstaff located?

Richard Biggerstaff practices at 8040 Clearvista Parkway Suite 350, Indianapolis, IN 46256. The listed phone number is (317) 844-7059.

What is Richard Biggerstaff's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Richard Biggerstaff enrolled in Medicare?

Yes. Richard Biggerstaff 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 Biggerstaff accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Richard Biggerstaff 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 Biggerstaff was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.