RICHARD F RADOCHA MD
NPI 1992774855
Plastic Surgery in Winter Haven, FL
NPI Status: Active since March 14, 2006
Contact Information
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 294-0670
Fax: (863) 298-3200
- Individual
- Male
- Plastic Surgery
- PECOS Enrolled
About RICHARD RADOCHA
This page provides the complete NPI Profile along with additional information for Richard Radocha, a provider established in Winter Haven, Florida with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1992774855 assigned on March 2006. The practitioner's primary taxonomy code is 208200000X with license number ME37540 (FL). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1992774855
- Provider Name
- RICHARD F RADOCHA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 635 1ST ST N WINTER HAVEN, FL 33881
- Location Phone
- (863) 294-0670
- Location Fax
- (863) 298-3200
- Mailing Address
- 635 1ST ST N WINTER HAVEN, FL 33881
- Mailing Phone
- (863) 294-0670
- Mailing Fax
- (863) 298-3200
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-14-2006
- Last Update Date
- 05-20-2008
- Code Navigator
Location Map
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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME37540
- License State
- FL
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
---|---|---|---|
110017782 | OTHER (01) | FL | MEDICARE ID/ RRM PIN |
02557Z | MEDICARE PIN (08) | FL | |
045972100 | MEDICAID (05) | FL | |
D50558 | MEDICARE UPIN (02) | FL |
Medicare Participation & PECOS Enrollment Status
Richard Radocha is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
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.
This service was performed 63 times for 41 patientsThis 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.
This service was performed 35 times for 35 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33881 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 9 | 2 | 7 | 7 | 4 | 8 | 5 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 18 | 2 | 14 | 7 | 8 | 8 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 8 + 2 + 1 + 4 + 7 + 8 + 8 + 1 + 0 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1992774855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
RAYMOND A CHOUINARD MD
Family Medicine
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
ALAN G GASNER MD
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
RANDALL B KRAMER MD
Internal Medicine
(Cardiovascular Disease)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
GORDON J RAFOOL MD
Family Medicine
(Geriatric Medicine)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
JAMES A MARTIN MD
Otolaryngology
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
MARK W SHABLA MD
Internal Medicine
(Gastroenterology)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
ROBERT M VANHOOK MD
Internal Medicine
(Infectious Disease)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
DR. ZAHEED TAI D.O.
Internal Medicine
(Cardiovascular Disease)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
GESSLER CLINIC PROFESSIONAL ASSOCIATION
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
JODIE POLING CSFA
Specialist/Technologist, Other
(Surgical Assistant)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
ADA LOPEZ-MENDEZ MD
Internal Medicine
(Rheumatology)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
JOHN J MCGETRICK MD
Ophthalmology
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
ROXANNA FORD NP
Nurse Practitioner
(Family)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
DOROTHEA ANNETTE THOMPSON APRN, FNP-C
Nurse Practitioner
(Family)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
CECILIA MCDONALD ARNP
Nurse Practitioner
(Adult Health)
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
CRISTINA MEJIA-MILLAN PH.D.
Psychologist
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
DR. MARY R DE SENA M.D.
Family Medicine
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
RONALD A FORD MD
Family Medicine
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
DR. CLINTON RYAN HALL M.D.
Surgery
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
ROYA GHORSRIZ D.O.
Dermatology
635 1ST ST N
WINTER HAVEN, FL
ZIP 33881
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992774855, enumerated as an "individual" on March 14, 2006.
The provider is located at 635 1ST ST N WINTER HAVEN, FL 33881 and the phone number is (863) 294-0670.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.