RICHARD ALLEN III LARDNER (DO) – Emergency Medicine Physician, NPI 1093392409

RICHARD ALLEN III LARDNER (DO) is a healthcare provider. based in Port st lucie, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 036168881 (IL). The NPI Number for RICHARD ALLEN III LARDNER (DO) is 1093392409

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD ALLEN III LARDNER (DO)
NPI
1093392409
Phone
(772) 398-1990
Address
1800 SE TIFFANY AVE
Enumeration Date
24 March 2021
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309332640
Graduation Year
2021 (5 years ago)
PAC ID
8628518636
Group Practice PAC ID
5597763706
Professional Enrollment ID
I20240905000850
Address ID
IL601901222WI25XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for RICHARD ALLEN III LARDNER (DO)

  • 1800 SE TIFFANY AVE

    PORT ST LUCIE, FL 349527521

    Phone: (772) 398-1990

    Type: Location

  • 8877 SE COMPASS ISLAND WAY

    JUPITER, FL 334581106

    Phone: (561) 741-5280

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-05

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
I20240905000850IEmergency MedicineILTBD

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 34952)

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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: 5597763706View full group profile
NameSpecialtyState
Emergency MedicineIL
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineMA
Emergency MedicineIL
Physician AssistantIL
Emergency MedicineIL
-IL
Emergency MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for RICHARD ALLEN III LARDNER (DO)?
Save NPI 1093392409 if you need a stable reference for RICHARD ALLEN III LARDNER (DO).
Is RICHARD ALLEN III LARDNER (DO) currently active in the NPI registry?
CMS-published data lists RICHARD ALLEN III LARDNER (DO) as an active registrant.
What does RICHARD ALLEN III LARDNER (DO) treat or focus on?
Patients typically see RICHARD ALLEN III LARDNER (DO) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for RICHARD ALLEN III LARDNER (DO)?
We surface Port St Lucie, Florida for RICHARD ALLEN III LARDNER (DO) based on available NPPES addresses.
How can I contact RICHARD ALLEN III LARDNER (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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