RICHARD ALAN MACKLIN DO
NPI 1992436356
Family Medicine in Erie, PA

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Richard Alan Macklin Do NPPES

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

RICHARD ALAN MACKLIN DO (NPI 1992436356) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OT021853) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1992436356
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD ALAN MACKLINCredential: DO
Location Address5515 PEACH STErie, PA 16509-2603
Mailing Address5515 Peach StErie, PA 16509-2603
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1992436356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OT021853
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 02008383A (IN)
5515 PEACH ST, Erie, PA 16509

Secondary Practice Location 1

Location 12651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 676-4102

Accepted 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

Richard Alan Macklin Do 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 ID4688054950
PECOS Enrollment IDI20250715000236
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

4

Medicare enrollment records show Richard Macklin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
965 SHAMROCK LN
Corry, PA 16407
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Hospitalist
1125 W JEFFERSON ST
Franklin, IN 46131
  • Reassigned Medicare billing, Indiana enrollment
  • 28 clinicians in this Medicare group
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group

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 4

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

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150001
Location1125 W Jefferson StFranklin, IN 46131 · Johnson County
Emergency services Birthing friendly

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509

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 Macklin's NPI number?

The NPI number for Richard Macklin is 1992436356. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Richard Macklin located?

Richard Macklin practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 868-8294.

What is Richard Macklin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Macklin enrolled in Medicare?

Yes. Richard Macklin 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 Macklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Macklin reassigns Medicare benefits to 4 organizations: Corry Memorial Hospital Association (Corry, PA), Iu Health Medical Group, LLC (Indianapolis, IN), Ies Hsp Indiana LLC (Franklin, IN) and Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN). 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 Macklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Macklin accept?

Health plans from CareSource and Cigna Healthcare list Richard Macklin 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 Macklin affiliated with any hospitals?

According to CMS data, Richard Macklin is affiliated with Johnson Memorial Hospital, Indiana University Health Bloomington Hospital, Indiana University Health and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Richard Macklin was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.