TYRUN KEITH RICHARDSON (M.D.) – Urology Physician, NPI 1205834074
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
271 UROLOGY in MO
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Provider Addresses for TYRUN KEITH RICHARDSON (M.D.)
1965, South Fremont Avenue, Meador Park, Springfield, Greene County, Missouri, 65804, United States
STE 370
SPRINGFIELD, MO 658042201
Phone: (417) 820-0300
Type: Location
PO BOX 505164
SAINT LOUIS, MO 631505164
Phone: (417) 829-4620
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Ambu Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ambu Inc. | $19 |
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: 2005-10-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051004000130 | I | Urology | MO | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 588 | 498 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 508 | 437 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 402 | 340 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 376 | 326 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 188 | 168 | $0 |
Insurance plans in this area (ZIP 65804)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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