Active NPI
Richard M Avery, DO
- Internal Medicine Physician
- Livingston, TX
National Provider Identifier
1023073822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M1421
- Practice address
- 1717 Highway 59 Loop N
Livingston, TX 77351-5703 - Phone
- (936) 329-8700
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M1421 | TX | |
| Internal Medicine Physician | 207R00000X | M1421 | TX | Primary |
Addresses
Primary practice location
1717 Highway 59 Loop N
Livingston, TX 77351-5703
Mailing address
PO Box 202027
Dallas, TX 75320-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176138901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051025000811 | TX | Practitioner - Internal Medicine | 3375598246 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Metroplex Clinic Physicians Inc
Practice addresses (Care Compare)
2301 S Clear Creek Rd
112 Advthlth Int Med
Killeen, TX 76549-4198
Phone (254) 519-3131
Hospital & facility affiliations
- Elara Caring
- Texmed Home Health Inc
- Hana Care Texas
- Adventhealth Central Texas
- Adventhealth Rollins Brook
- Seton Medical Center Harker Heights
- Baylor Scott & White Medical Center - Temple
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.04 of 100
- Quality
- 76.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3837 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metroplex Clinic Physicians, Inc. | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Bulldog Radiology PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921
2301 Clear Creek Rd
Ste 112
Killeen, TX 76549
Phone (254) 519-3131
Interoperability endpoints
- ravery1149927@adventhealth.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Livingston, TX
- NPI 1548358906
Diagnostic Radiology
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Austin, TX
- NPI 1447736996
-
- Home Health Agency
- Round Rock, TX
- NPI 1174569628
-
- In Home Supportive Care Agency
- Killeen, TX
- NPI 1962447417
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1023073822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202027",
"city": "DALLAS",
"state": "TX",
"postal_code": "753200001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 HIGHWAY 59 LOOP N",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773515703",
"telephone_number": "936-329-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M1421",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M1421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176138901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.