DR. ERIC T. RICHARDSON M.D.
NPI 1861480964
Emergency Medicine in Edgewood, KY


Quality Rating: 92.22 out of 100 score

NPI Status: Active since October 12, 2005

Contact Information

1 MEDICAL VILLAGE DR
EDGEWOOD, KY
ZIP 41017
Phone: (859) 572-3617
Fax: (859) 572-2326

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  • Individual
  • Male
  • Emergency Medicine
  • Accepts Insurance

About ERIC RICHARDSON

This page provides the complete NPI Profile along with additional information for Eric Richardson, a provider established in Edgewood, Kentucky with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1861480964 assigned on October 2005. The practitioner's primary taxonomy code is 207P00000X with license number 28930 (KY). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1861480964
Provider Name
DR. ERIC T. RICHARDSON M.D.
Gender
Male
Entity Type
Individual
Location Address
1 MEDICAL VILLAGE DR EDGEWOOD, KY 41017
Location Phone
(859) 572-3617
Location Fax
(859) 572-2326
Mailing Address
PO BOX 18667 ERLANGER, KY 41018
Mailing Phone
(859) 572-3617
Mailing Fax
(859) 572-2326
Is Sole Proprietor?
No
Enumeration Date
10-12-2005
Last Update Date
07-15-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
28930
License State
KY
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000618978JMEDICAID (05)GA 
00415001MEDICARE PIN (08)KY 
2793320MEDICAID (05)OH 
K002901MEDICARE PIN (08)KY 
K173610MEDICARE PIN (08)KY 
200916620MEDICAID (05)IN 
7100032130MEDICAID (05)KY 
F73286MEDICARE UPIN (02) 
93BBGBVMEDICARE PIN (08)GA 
0969423MEDICARE PIN (08)KY 
P00029711MEDICARE PIN (08)GA 
3313278MEDICARE PIN (08)KY 
P00612935MEDICARE PIN (08) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 29 times for 29 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 219 times for 218 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 90 times for 90 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 24 times for 24 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.22, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.22 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 85.64

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DR. ERIC T. RICHARDSON M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861480964, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 8 + 0 + 9 + 1 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1861480964.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Surgery (Vascular Surgery)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Internal Medicine
1 MEDICAL VILLAGE DR, ST. ELIZABETH HEALTHCARE
EDGEWOOD, KY 41017
Pathology (Anatomic Pathology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Pediatrics (Neonatal-Perinatal Medicine)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017
Anesthesiology
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861480964, enumerated as an "individual" on October 12, 2005.

The provider is located at 1 MEDICAL VILLAGE DR EDGEWOOD, KY 41017 and the phone number is (859) 572-3617.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.