RICHARD H CALES (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1619932084
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
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Provider Addresses for RICHARD H CALES (M.D.)
5722, Outer Loop, Smyrna, Louisville, Jefferson County, Kentucky, 40219, United States
LOUISVILLE, KY 402194156
Phone: (502) 492-7455
Fax: (502) 921-0222
Type: Location
P O BOX 940245
LOUISVILLE, KY 402950001
Phone: (502) 969-6552
Fax: (502) 969-3799
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $289.
Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Braeburn Inc. ($148).
Total Amount
$289
General + Research + Ownership
Payments
13
Total payment records
General Amount
$289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $148 |
| Gilead Sciences, Inc. | $71 |
| Indivior Inc. | $69 |
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: 2005-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040505001373 | I | Internal Medicine | KY | TBD |
| I20051222000450 | I | Internal Medicine | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 18 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 26 | 13 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 21 | 14 | $0 |
Insurance plans in this area (ZIP 40219)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | KY | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 43 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Interventional Pain Management | IN |
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