DR. KENNETH MAX RICHARDS (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1083689376

DR. KENNETH MAX RICHARDS (MD) is a healthcare provider. based in Greeley, Colorado. specializing in CARDIAC SURGERY, THORACIC SURGERY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 31556 (CO). The NPI Number for DR. KENNETH MAX RICHARDS (MD) is 1083689376

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH MAX RICHARDS (MD)
NPI
1083689376
Phone
(970) 352-0405
Address
1905 19TH AVE
Enumeration Date
21 February 2006
Last Update Date
17 March 2009

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
5698752707
Group Practice PAC ID
8921273038
Professional Enrollment ID
I20040706001132
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

40 CARDIAC SURGERY in CO

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Provider Addresses for DR. KENNETH MAX RICHARDS (MD)

  • 1905, 19th Avenue, Greeley, Weld County, Colorado, 80631, United States

    GREELEY, CO 806315209

    Phone: (970) 352-0405

    Type: Mailing

  • 1800, 15th Street, Greeley, Weld County, Colorado, 80631, United States

    SUITE 340

    GREELEY, CO 806314500

    Phone: (970) 378-4593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: LeMaitre Vascular, Inc. ($52).

Total Amount

$108

General + Research + Ownership

Payments

5

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-07-06

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
I20040706001132ICardiac SurgeryCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80631)

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Provider's Procedures

DR. KENNETH MAX RICHARDS (MD) performs procedures in CARDIAC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYCO33533Heart artery bypass to repair one artery1414

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: 8921273038View full group profile
NameSpecialtyState
-WY
-OK
-CO
-OH
-CO
-CO
-CO
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional RadiologyCO
-TX
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyPA

Reviews

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Frequently asked questions

How do payers reference DR. KENNETH MAX RICHARDS (MD)?
For DR. KENNETH MAX RICHARDS (MD), use NPI 1083689376 as the unique 10-digit identifier.
Active or inactive — what applies to DR. KENNETH MAX RICHARDS (MD)?
You should see DR. KENNETH MAX RICHARDS (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. KENNETH MAX RICHARDS (MD)'s focus?
For DR. KENNETH MAX RICHARDS (MD), the primary taxonomy reads as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH MAX RICHARDS (MD) located near Greeley?
DR. KENNETH MAX RICHARDS (MD) currently maps to Greeley, Colorado in this extract.
Can I trust this NPI listing for DR. KENNETH MAX RICHARDS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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