DR. DERRICK L RICHARDSON (MD) – Gastroenterology Physician, NPI 1992727150

DR. DERRICK L RICHARDSON (MD) is a healthcare provider. based in Fort smith, Arkansas. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. C-8460 (AR). The NPI Number for DR. DERRICK L RICHARDSON (MD) is 1992727150

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DERRICK L RICHARDSON (MD)
NPI
1992727150
Phone
(479) 274-2000
Address
PO BOX 3528
Enumeration Date
24 July 2006
Last Update Date
1 September 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4792744100
Graduation Year
1993 (33 years ago)
PAC ID
3971643594
Group Practice PAC ID
3870668510
Professional Enrollment ID
I20091211000638
Address ID
AR729034067FO6801XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

120 GASTROENTEROLOGY in AR

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Provider Addresses for DR. DERRICK L RICHARDSON (MD)

  • PO BOX 3528

    FORT SMITH, AR 729133528

    Phone: (479) 274-2000

    Fax: (479) 274-2194

    Type: Mailing

  • 6801, Rogers Avenue, Massard, Fort Smith, Sebastian County, Arkansas, 72903, United States

    FORT SMITH, AR 729034067

    Phone: (479) 274-3200

    Fax: (479) 274-3289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $2,058.

Total Amount is formed as General ($2,058) + Research ($0) + Ownership ($0) = $2,058.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($668).

Total Amount

$2,058

General + Research + Ownership

Payments

125

Total payment records

General Amount

$2,058

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091211000638IGastroenterologyARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope258251$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare249249$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15579$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes101100$0
99213Established patient office or other outpatient visit, 20-29 minutes9684$0
View full utilization report →

Insurance plans in this area (ZIP 72913)

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Provider's Procedures

DR. DERRICK L RICHARDSON (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYAR45385Removal of polyps or growths of large bowel using an endoscope189188

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870668510View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YAR
Family PracticeAR
-AR
Family PracticeIL
Nurse PractitionerAR
Nurse PractitionerAR
-OK
G A S T R O E N T E R O L O G YAR
Nurse PractitionerAR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

What federal number belongs to DR. DERRICK L RICHARDSON (MD)?
The federal identifier for DR. DERRICK L RICHARDSON (MD) is NPI 1992727150.
Does this profile mean DR. DERRICK L RICHARDSON (MD) is currently active?
Yes — DR. DERRICK L RICHARDSON (MD) appears active in the national provider directory.
What field does DR. DERRICK L RICHARDSON (MD) work in?
You can think of DR. DERRICK L RICHARDSON (MD) as practicing within Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DERRICK L RICHARDSON (MD)?
The page summarizes Fort Smith, Arkansas for DR. DERRICK L RICHARDSON (MD); expand the address list for detail.
How can I contact DR. DERRICK L RICHARDSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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