DR. RICHARD ETHAN BIVIN (M.D.) – Family Medicine Physician, NPI 1386641033

DR. RICHARD ETHAN BIVIN (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. The NPI Number for DR. RICHARD ETHAN BIVIN (M.D.) is 1386641033

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD ETHAN BIVIN (M.D.)
NPI
1386641033
Phone
(217) 757-7491
Address
PO BOX 3428
Enumeration Date
7 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2177329681
Graduation Year
1998 (28 years ago)
PAC ID
8123035326
Group Practice PAC ID
9032005681
Professional Enrollment ID
I20060313000710
Address ID
IL626561401LI515XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. RICHARD ETHAN BIVIN (M.D.)

  • 3428, South Spring Street, Southern View, Sangamon County, Illinois, 62704, United States

    SPRINGFIELD, IL 627083428

    Phone: (217) 757-7491

    Fax: (217) 757-2021

    Type: Mailing

  • 515, North College Street, Lincoln, Logan County, Illinois, 62656, United States

    LINCOLN, IL 626561401

    Phone: (217) 732-9681

    Fax: (217) 735-6373

    Type: Location

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: 2006-03-13

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
I20060313000710IFamily PracticeILTBD

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
71046X-ray of chest, 2 views3729$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1616$0
72100X-ray of lower and sacral spine, 2-3 views1313$0
View full utilization report →

Insurance plans in this area (ZIP 62708)

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Provider's Procedures

DR. RICHARD ETHAN BIVIN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL73562X-ray of knee, 3 views1313
FAMILY MEDICINEIL81002Urinalysis, manual test1717

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: 9032005681View full group profile
NameSpecialtyState
Family PracticeNJ
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Nurse PractitionerIL
Physician AssistantIL
-IL
Mental Health CounselorIL
-IL
Physician AssistantIL

Reviews

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Frequently asked questions

Does DR. RICHARD ETHAN BIVIN (M.D.) have a public NPI I can cite?
Public records show DR. RICHARD ETHAN BIVIN (M.D.) under NPI 1386641033.
Is DR. RICHARD ETHAN BIVIN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. RICHARD ETHAN BIVIN (M.D.) as active.
What does the directory say DR. RICHARD ETHAN BIVIN (M.D.) does?
Insurance directories may phrase it differently, but here DR. RICHARD ETHAN BIVIN (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RICHARD ETHAN BIVIN (M.D.)?
DR. RICHARD ETHAN BIVIN (M.D.) is associated with Springfield, Illinois in the same public data insurers reference.
Who maintains DR. RICHARD ETHAN BIVIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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