RICHARD L. CRISTEA M.D.
NPI 1992858641
Psychiatry & Neurology - Neurology in Merrillville, IN

Q: What is Richard Cristea's NPI number?

The NPI number for Richard Cristea is 1992858641. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Richard Cristea's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Richard Cristea was last updated on December 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment

70.04/100

CMS Quality Rating

521 E 86TH AVE, SUITE Z, MERRILLVILLE, IN 46410(219) 769-0777(219) 755-0612 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2020, Feb 11, 2020 (2 updates tracked since 2020).

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About Richard L. Cristea M.d. NPPES

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

RICHARD L. CRISTEA M.D. (NPI 1992858641) is an individual neurology provider in Merrillville, Indiana, licensed in Indiana (01037934A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and maintains a secondary practice location in Evergreen Park.

NPPES Registry Identity

NPI1992858641

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameRICHARD L. CRISTEACredential: M.D.

Location Address521 E 86TH AVE, SUITE ZMerrillville, IN 46410-6173

Mailing Address521 E 86th Ave, Suite ZMerrillville, IN 46410-6173 · (219) 769-0777 · Fax (219) 755-0612

Phone(219) 769-0777

Fax(219) 755-0612

Sole ProprietorNo

Medical School CMSChicago College Of Medicine And SurgeryGraduated 1988

Enumeration DateJanuary 18, 2007

Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration

NPPES CertifiedDecember 14, 2020

✔ NPI 1992858641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IN · 01037934A

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

521 E 86TH AVE, Merrillville, IN 46410

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Secondary Practice Location 1

Location 19730 S Western Ave Ste 100Evergreen Park, IL 60805-2853 · Phone (219) 769-0777 · Fax (219) 755-0608

Other Identifiers 1

Other84103Anthem

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

Richard L. Cristea 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 ID9739074873

PECOS Enrollment IDI20080623000462

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 13

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

702 services341 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.

666 services453 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

399 services397 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

232 services232 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

227 services165 patients

Nerve conduction, 11-12 studies 95912

Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.

114 services113 patients

Nerve conduction, 13 or more studies 95913

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

107 services105 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

96 services94 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

67 services67 patients

Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405

This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.

52 services42 patients

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.

32 services29 patients

Needle measurement of electrical activity in arm or leg muscles, limited study 95885

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

27 services27 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

26 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150002

Location600 Grant StGary, IN 46402 · Lake County

Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

70.04/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.66

Improvement Activities

Cost

25.91

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

35%968 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

87%2,563 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

92%2,622 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

99%309 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

97%2,346 patients4/55-star benchmark: 100%

Sleep Apnea: Assessment of Sleep Symptoms

Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness

80%576 patients4/55-star benchmark: 100%

Sleep Apnea: Severity Assessment at Initial Diagnosis

Percentage of patients aged 18 years and older with a diagnosis of obstructive sleep apnea who had an apnea hypopnea index (AHI) or a respiratory disturbance index (RDI) measured at the time of initial diagnosis

0%576 patients1/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

76%543 patients4/55-star benchmark: 100%

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.

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Other Providers at the Same Location NPPES 15

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

VANESSA QUALLS LMHC

Counselor (Mental Health)

521 E 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 323-3311

LARRY M SALBERG M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410

Lake County (219) 769-0777

MISS VICTORIA LYNN AREVALO MA

Counselor (Mental Health)

521 E 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 323-3311

KNOX DIAGNOSTICS, LLC

Clinical Medical Laboratory

521 E 86TH AVE
MERRILLVILLE, IN 46410

Lake County (872) 233-4509

CHIRAG PATEL M.D.

Internal Medicine

521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410

Lake County (219) 769-0777

ELISE D BALLARD NP

Nurse Practitioner (Family)

521 E 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 769-5227

INDY ORTHOPEDICS

Orthopaedic Surgery

521 E 86TH AVE, SUITE P
MERRILLVILLE, IN 46410

Lake County (219) 755-4550

KAREN M WYSS P.T.

Physical Therapist

521 E 86TH AVE, SUITE J
MERRILLVILLE, IN 46410

Lake County (219) 756-2722

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 Cristea's NPI number?

The NPI number for Richard Cristea is 1992858641. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Richard Cristea located?

Richard Cristea practices at 521 E 86th Ave Suite Z, Merrillville, IN 46410. The listed phone number is (219) 769-0777.

What is Richard Cristea's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Richard Cristea enrolled in Medicare?

Yes. Richard Cristea 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 Cristea accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Richard Cristea 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 Cristea affiliated with any hospitals?

According to CMS data, Richard Cristea is affiliated with Methodist Hospitals Inc, St Mary Medical Center Inc, Community Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Richard Cristea was last updated on December 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.