JUDITH A RICHMOND (MD) – Surgery Physician, NPI 1336183755

JUDITH A RICHMOND (MD) is a healthcare provider. based in Portland, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD25244 (OR). The NPI Number for JUDITH A RICHMOND (MD) is 1336183755

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH A RICHMOND (MD)
NPI
1336183755
Phone
(503) 215-5545
Address
4805 NE GLISAN ST STE 4J14
Enumeration Date
15 June 2006
Last Update Date
23 December 2021

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
5032151111
Graduation Year
1982 (44 years ago)
PAC ID
8729055835
Group Practice PAC ID
5395656284
Professional Enrollment ID
I20040916000501
Address ID
OR972132933PO4805XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

530 GENERAL SURGERY in OR

Provider Addresses for JUDITH A RICHMOND (MD)

  • 4805 NE GLISAN ST STE 4J14

    PORTLAND, OR 972132933

    Phone: (503) 215-5545

    Fax: (503) 215-6012

    Type: Location

  • Pilkington Road, Bryant Woods, Rosewood, Jean, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States

    LAKE OSWEGO, OR 970356308

    Phone: (503) 697-3255

    Fax: (503) 697-7792

    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 $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Avita Medical Americas, Llc ($143).

Total Amount

$370

General + Research + Ownership

Payments

13

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2004-09-16

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
I20040916000501IGeneral SurgeryORTBD

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
11043Removal of muscle and/or tissue, 20.0 sq cm or less20643$0
11042Removal of skin and tissue, 20.0 sq cm or less8034$0
99212Established patient office or other outpatient visit, 10-19 minutes4528$0
99213Established patient office or other outpatient visit, 20-29 minutes3228$0
99215Established patient office or other outpatient visit, 40-54 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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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: 5395656284View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
Internal MedicineOR
Nurse PractitionerOR
Hematology, Medical OncologyWI
P A T H O L O G YOR
Nurse PractitionerOR
Internal MedicineOR
-OR
P A T H O L O G YPA
P A T H O L O G YOR

Reviews

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Frequently asked questions

How do payers reference JUDITH A RICHMOND (MD)?
For JUDITH A RICHMOND (MD), use NPI 1336183755 as the unique 10-digit identifier.
Would JUDITH A RICHMOND (MD) appear as active to a payer?
You can treat JUDITH A RICHMOND (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JUDITH A RICHMOND (MD)'s focus?
For JUDITH A RICHMOND (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JUDITH A RICHMOND (MD)?
Directory geography for JUDITH A RICHMOND (MD) centers on Portland, Oregon.
When was this NPI issued?
Enumeration for JUDITH A RICHMOND (MD) is noted as June 15, 2006 where the registry provides it.

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