RICHARD BLAINE BEAVEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1538104666

RICHARD BLAINE BEAVEN (M.D.) is a healthcare provider. based in Lakeside park, Kentucky. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 35061 (KY). The NPI Number for RICHARD BLAINE BEAVEN (M.D.) is 1538104666

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD BLAINE BEAVEN (M.D.)
NPI
1538104666
Phone
(859) 282-6700
Address
2156 CHAMBER CENTER DR
Enumeration Date
20 June 2006
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5138659898
Graduation Year
1998 (28 years ago)
PAC ID
5092713073
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20101129000831
Address ID
KY410569182MA525XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

631 OBSTETRICS/GYNECOLOGY in KY

Provider Addresses for RICHARD BLAINE BEAVEN (M.D.)

  • 2156 CHAMBER CENTER DR

    LAKESIDE PARK, KY 410171669

    Phone: (859) 282-6700

    Fax: (859) 282-6760

    Type: Mailing

  • 6903 Burlington Pike

    Florence, KY 410421618

    Phone: (859) 282-6700

    Fax: (859) 282-6760

    Type: Location

  • Reading Road, Avondale, Cincinnati, Hamilton County, Ohio, 45229-3018, United States

    SUITE 150

    CINCINNATI, OH 452021454

    Phone: (513) 721-3200

    Fax: (513) 639-3186

    Type: Mailing

  • 6903, Burlington Pike, Florence, Boone County, Kentucky, 41042, United States

    FLORENCE, KY 410421618

    Phone: (859) 282-6700

    Fax: (859) 282-6760

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($31).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

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: 2025-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20101129000831IObstetrics/GynecologyKYTBD
I20150310002204IObstetrics/GynecologyOHTBD
I20250624000366IObstetrics/GynecologyINTBD

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 41017)

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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: 1850570458View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Radiation OncologyOH
O T O L A R Y N G O L O G YOH
P O D I A T R YOH
Physician AssistantOH
H O S P I T A L I S TMD
Nurse PractitionerCO
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Where can patients find RICHARD BLAINE BEAVEN (M.D.)'s NPI?
You can confirm RICHARD BLAINE BEAVEN (M.D.) with NPI 1538104666; it appears in the national provider directory.
Does this profile mean RICHARD BLAINE BEAVEN (M.D.) is currently active?
Yes — RICHARD BLAINE BEAVEN (M.D.) appears active in the national provider directory.
What does RICHARD BLAINE BEAVEN (M.D.) treat or focus on?
Patients typically see RICHARD BLAINE BEAVEN (M.D.) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place RICHARD BLAINE BEAVEN (M.D.)?
The snapshot lists Lakeside Park, Kentucky for RICHARD BLAINE BEAVEN (M.D.); download NPPES for the complete set.
How can I contact RICHARD BLAINE BEAVEN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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