CAMERON RICHARDSON (D.O.) – Diagnostic Radiology Physician, NPI 1720442015

CAMERON RICHARDSON (D.O.) is a healthcare provider. based in Carthage, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101026715 (MI). The NPI Number for CAMERON RICHARDSON (D.O.) is 1720442015

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON RICHARDSON (D.O.)
NPI
1720442015
Phone
(417) 793-6066
Address
10651 ELM RD
Enumeration Date
12 April 2016
Last Update Date
6 January 2023

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6166855907
Graduation Year
2016 (10 years ago)
PAC ID
5890087811
Group Practice PAC ID
0648171850
Professional Enrollment ID
I20220517000291
Address ID
MI495034502GR200XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for CAMERON RICHARDSON (D.O.)

  • Elm Road, Carthage, Jasper County, Missouri, 64836, United States

    CARTHAGE, MO 648363443

    Phone: (417) 793-6066

    Type: Mailing

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-3000

    Type: Location

  • PO BOX 5329

    SAGINAW, MI 486030329

    Phone: (616) 364-6700

    Type: Mailing

  • 200 JEFFERSON AVE SE

    GRAND RAPIDS, MI 495034502

    Phone: (616) 279-3105

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $2,152.

Total Amount is formed as General ($2,152) + Research ($0) + Ownership ($0) = $2,152.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Stryker Corporation ($796).

Total Amount

$2,152

General + Research + Ownership

Payments

25

Total payment records

General Amount

$2,152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2022-05-17

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
I20220517000291IDiagnostic RadiologyMITBD

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
71045X-ray of chest, 1 view140119$0
70450Ct scan head or brain without contrast106103$0
71046X-ray of chest, 2 views7877$0
76705Limited ultrasound scan of abdomen7775$0
74177Ct scan of abdomen and pelvis with contrast7474$0
View full utilization report →

Insurance plans in this area (ZIP 64836)

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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: 0648171850View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyCO
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Physician AssistantMI
Diagnostic RadiologyMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

Can I cross-check CAMERON RICHARDSON (D.O.) using NPI 1720442015?
NPI 1720442015 belongs to CAMERON RICHARDSON (D.O.); compare other details if you need extra assurance.
Is CAMERON RICHARDSON (D.O.) shown as active in public data?
Registry records indicate CAMERON RICHARDSON (D.O.) maintains an active NPI.
What kind of doctor is CAMERON RICHARDSON (D.O.)?
CAMERON RICHARDSON (D.O.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is CAMERON RICHARDSON (D.O.) registered?
Use Carthage, Missouri as the headline location for CAMERON RICHARDSON (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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