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DR. RICHARD J RINEHART M.D.
NPI 1932195997
Otolaryngology in West Des Moines, IA

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
76.83/100
CMS Quality Rating
5950 UNIVERSITY AVE, STE 265, WEST DES MOINES, IA 50266(515) 875-9450(515) 875-9457 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 17, 2021, Jun 22, 2018 (2 updates tracked since 2018).

About Dr. Richard J Rinehart M.d. NPPES

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

DR. RICHARD J RINEHART M.D. (NPI 1932195997) is an individual otolaryngology provider in West Des Moines, Iowa, licensed in Iowa (MD-30267) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Clarke County Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1991).

NPPES Registry Identity

NPI1932195997
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RICHARD J RINEHARTCredential: M.D.
Location Address5950 UNIVERSITY AVE, STE 265West Des Moines, IA 50266
Mailing Address7147 Vista Dr Ste 150West Des Moines, IA 50266-9313 · (515) 875-9925 · Fax (515) 875-9923
Phone(515) 875-9450
Fax(515) 875-9457
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1991
Enumeration DateSeptember 26, 2005
Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1932195997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IA · MD-30267
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.
5950 UNIVERSITY AVE, West Des Moines, IA 50266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard J Rinehart 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 ID4981694700
PECOS Enrollment IDI20040514000082
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Rinehart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarke County Public Hospital
40 mi
Emergency Medicine
800 S FILLMORE ST
Osceola, IA 50213
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1114954997 (Iowa)
  • 64 clinicians in this Medicare group
NPI 1023045804 (641) 342-2184
Cass County Memorial Hospital
56 mi
Rural Health
92 MAIN ST
Massena, IA 50853
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1093760944 (Iowa)
  • 112 clinicians in this Medicare group
NPI 1447451331 (712) 779-3626

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Clarke County Hospital

Critical Access Hospitals · Osceola, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161348
Location800 S Fillmore StOsceola, IA 50213 · Clarke County
Emergency services

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161376
Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50266 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

76.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Improvement Activities40
Cost44.61

Other Providers at the Same Location NPPES 20

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

KEVIN JAMES CUNNINGHAM M.D.
Internal Medicine
5950 UNIVERSITY AVE, STE 151
WEST DES MOINES, IA 50266
Dallas County (515) 875-9192
DR. STEPHANIE M STITT COX MD
Family Medicine
5950 UNIVERSITY AVE, STE 220
WEST DES MOINES, IA 50266
Dallas County (515) 875-9410
PIER LOUISE OSWEILER ARNP
Nurse Practitioner
5950 UNIVERSITY AVE, STE 280
WEST DES MOINES, IA 50266
Dallas County (515) 875-9902
WHITNEY ANN JOHNSTON ARNP, DNP
Nurse Practitioner
5950 UNIVERSITY AVE, STE 151
WEST DES MOINES, IA 50266
Dallas County (515) 875-9192
DR. MELISSA J THOMPSON M.D.
Family Medicine
5950 UNIVERSITY AVE, STE 220
WEST DES MOINES, IA 50266
Dallas County (515) 875-9410
RODNEY WAYNE IEDEMA PT,MSPT
Physical Therapist
5950 UNIVERSITY AVE, STE 285
WEST DES MOINES, IA 50266
Dallas County (515) 875-9706
MS. STACEY LYNN MILLER P.T.
Physical Therapist
5950 UNIVERSITY AVE, STE 285
WEST DES MOINES, IA 50266
Dallas County (515) 875-9706
DR. NICHOLAS SOUTHARD D.O.
Surgery (Vascular Surgery)
5950 UNIVERSITY AVE, STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090

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 Rinehart's NPI number?

The NPI number for Richard Rinehart is 1932195997. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Richard Rinehart located?

Richard Rinehart practices at 5950 University Ave Ste 265, West Des Moines, IA 50266. The listed phone number is (515) 875-9450.

What is Richard Rinehart's specialty?

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

Is Richard Rinehart enrolled in Medicare?

Yes. Richard Rinehart 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.

Which organizations bill Medicare for Richard Rinehart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Rinehart reassigns Medicare benefits to 2 organizations: Clarke County Public Hospital (Osceola, IA) and Cass County Memorial Hospital (Massena, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Rinehart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Rinehart accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Medica, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Richard Rinehart 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 Rinehart affiliated with any hospitals?

According to CMS data, Richard Rinehart is affiliated with Clarke County Hospital and Cass County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Richard Rinehart was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.