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DR. RICHARD L ARDEN MD
NPI 1902883218
Otolaryngology - Plastic Surgery within the Head & Neck in Sterling Heights, MI

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
11080 HALL RD, SUITE A, STERLING HEIGHTS, MI 48314(586) 254-7200(586) 254-7201 Get Directions Write a Review

NPPES record last updated: November 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard L Arden Md NPPES

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

DR. RICHARD L ARDEN MD (NPI 1902883218) is an individual plastic surgery within the head & neck provider in Sterling Heights, Michigan, licensed in Michigan (4301049989) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Wayne State University School Of Medicine (1984).

NPPES Registry Identity

NPI1902883218
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. RICHARD L ARDENCredential: MD
Location Address11080 HALL RD, SUITE ASterling Heights, MI 48314
Mailing Address11080 Hall Rd, Suite ASterling Heights, MI 48314 · (586) 254-7200 · Fax (586) 254-7201
Phone(586) 254-7200
Fax(586) 254-7201
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1984
Enumeration DateDecember 28, 2005
Last NPPES UpdateNovember 9, 2019
✔ NPI 1902883218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in MI · 4301049989
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 4301049989 (MI)
11080 HALL RD, Sterling Heights, MI 48314
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Other Identifiers 3

Other040E061920MI · Blue Shield Michigan
Medicaid104103187MI
Medicaid4103187MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 L Arden 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 ID8224017579
PECOS Enrollment IDI20080401000837
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 5

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.
146 services94 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
82 services82 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.
42 services33 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.
17 services17 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.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
7%248 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
9%376 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%575 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%111 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%718 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%1,320 patients2/55-star benchmark: 97%
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…
60%1,320 patients3/55-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 CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%1,320 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
12%1,320 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 9

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

DR. JOHN W BECKER MD
Otolaryngology
11080 HALL RD, STE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-7200
ADAM ROURKE DO
Otolaryngology (Facial Plastic Surgery)
11080 HALL RD, SUITE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-7200
DR. DAVID A SCAPINI MD
Otolaryngology
11080 HALL RD, STE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-7200
LAKESHORE EAR NOSE AND THROAT CENTER PC
Otolaryngology
11080 HALL RD, A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-7200
EMILY JOHNSON AU.D
Audiologist
11080 HALL RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-0033
ROOPAL A CHITNIS
Audiologist-Hearing Aid Fitter
11080 HALL RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-7200
DR. KATHERINE MARIE GREENING AU.D.
Audiologist
11080 HALL RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-0033
SUSAN WHITEHEAD POTTER
Audiologist-Hearing Aid Fitter
11080 HALL RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-7200

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 Arden's NPI number?

The NPI number for Richard Arden is 1902883218. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Richard Arden located?

Richard Arden practices at 11080 Hall Rd Suite A, Sterling Heights, MI 48314. The listed phone number is (586) 254-7200.

What is Richard Arden's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Richard Arden enrolled in Medicare?

Yes. Richard Arden 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 Arden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Richard Arden 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 Arden affiliated with any hospitals?

According to CMS data, Richard Arden is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Richard Arden was last updated on November 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.