PAUL E.L. RICHARDSON (M.D.) – Urology Physician, NPI 1124018999

PAUL E.L. RICHARDSON (M.D.) is a healthcare provider. based in Waterloo, Iowa. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. MD489293C (PA). The NPI Number for PAUL E.L. RICHARDSON (M.D.) is 1124018999

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PAUL E.L. RICHARDSON (M.D.)
NPI
1124018999
Phone
(319) 234-2649
Address
3410 KIMBALL AVE
Enumeration Date
24 October 2005
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7178516120
Graduation Year
1983 (43 years ago)
PAC ID
6002996550
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20250613000403
Address ID
PA173252516GE450XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

133 UROLOGY in IA

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Provider Addresses for PAUL E.L. RICHARDSON (M.D.)

  • 3410, Kimball Avenue, Waterloo, Black Hawk County, Iowa, 50702, United States

    WATERLOO, IA 507025735

    Phone: (319) 234-2649

    Fax: (319) 233-2430

    Type: Mailing

  • 1650 4th St SE

    Rochester, MN 559044717

    Phone: (507) 529-6600

    Type: Location

  • 450 S Washington St

    Gettysburg, PA 173252500

    Phone: (717) 339-3105

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,454.

Total Amount is formed as General ($1,454) + Research ($0) + Ownership ($0) = $1,454.

Last reported payment date: 2024-07-20 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($1,077).

Total Amount

$1,454

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,454

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20100706000274IUrologyIATBD
I20241030000607IUrologyMNTBD
I20241212003858IUrologyWVTBD
I20250613000403IUrologyPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes555387$0
99213Established patient office or other outpatient visit, 20-29 minutes188165$0
52000Diagnostic exam of bladder and urethra using an endoscope7462$0
99204New patient office or other outpatient visit, 45-59 minutes7373$0
99215Established patient office or other outpatient visit, 40-54 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 50702)

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Provider's Procedures

PAUL E.L. RICHARDSON (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYIA76872Ultrasound of rectum3535
UROLOGYIA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3232

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: 1951213115View full group profile
NameSpecialtyState
Family PracticePA
-PA
-PA
N E U R O L O G YSC
Physician AssistantPA
Hospitalist, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
Family PracticePA
Internal Medicine, Pulmonary Disease, Sleep MedicinePA

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Frequently asked questions

What is the 10-digit NPI for PAUL E.L. RICHARDSON (M.D.)?
PAUL E.L. RICHARDSON (M.D.) — NPI 1124018999 — is the standard way to identify this listing.
Can I rely on PAUL E.L. RICHARDSON (M.D.) being an active provider?
As of the registry snapshot, PAUL E.L. RICHARDSON (M.D.) is marked active.
What is PAUL E.L. RICHARDSON (M.D.) best known for clinically?
Directory data describes PAUL E.L. RICHARDSON (M.D.) with Urology Physician. Clinical services aligned with this taxonomy classification.
Where is PAUL E.L. RICHARDSON (M.D.) based?
PAUL E.L. RICHARDSON (M.D.) is tied to Waterloo, Iowa in the data we show; additional addresses may exist on the full record.
Why does PAUL E.L. RICHARDSON (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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