Peter John Richerson, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

N6971 Issued in TX

Practice address

300 University Blvd
Round Rock, TX 78665

Phone

(512) 509-0100

NPI assigned

Aug 20, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Pecos County Memorial Hospital DistrictGroup PAC ID 3173977477, 32 clinicians

CahrmcGroup PAC ID 6608916879, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rice Medical Center Hospital, Eagle Lake, TX, CCN 451312
• Pecos County Memorial Hospital Hospital, Fort Stockton, TX, CCN 451389
• Grimes St Joseph Health Center Hospital, Navasota, TX, CCN 451322
• Burleson St Joseph Health Center Hospital, Caldwell, TX, CCN 451305
• Madison St Joseph Health Center Hospital, Madisonville, TX, CCN 451316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pricherson10465@direct.sw.org

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.

• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  Medicare reassignment Care Compare group NPD
• Pecos County Memorial Hospital District

  • Family Medicine Physician
  • Fort Stockton, TX
  • NPI 1386400232
  Medicare reassignment Care Compare group NPD
• Brazos Valley Emergency Physicians PA

  • Emergency Medicine Physician
  • Navasota, TX
  • NPI 1982642955
  Medicare reassignment NPD
• Cahrmc

  • Rural Health Clinic/Center
  • Eagle Lake, TX
  • NPI 1114255833
  NPD
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442
  NPD
• Pecos County Memorial Hospital District

  • Critical Access Hospital
  • Fort Stockton, TX
  • NPI 1073200309
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Burleson Lease Corp

  • Critical Access Hospital
  • Caldwell, TX
  • NPI 1568548683
  Care Compare affiliation
• Burleson St. Joseph Health Center of Caldwell, Texas

  • Critical Access Hospital
  • Caldwell, TX
  • NPI 1750377289
  Care Compare affiliation
• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  Care Compare affiliation
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442

  Hospital

  Care Compare affiliation
• Madison St Joseph Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Madisonville, TX
  • NPI 1033272398
  Care Compare affiliation
• Madison St Joseph Health Center

  • Critical Access Hospital
  • Madisonville, TX
  • NPI 1780731737
  Care Compare affiliation
• Pecos County Memorial Hospital District

  • Critical Access Hospital
  • Fort Stockton, TX
  • NPI 1073200309
  Care Compare affiliation
• St Joseph Regional Health Center

  • Critical Access Hospital
  • Navasota, TX
  • NPI 1154317774
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1114174117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-509-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "251-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHERSON",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N6971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pricherson10465@direct.sw.org",
            "affiliation": "N",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christion Gregory Rice, MD
• Lillie Rice
• Donna Rich, LCSW
• Natalie Richardson, SLP
• Rachel M Richardson
• Brandy Richter, RBT
• Emily Brooke Ricks, M.S., CCC-SLP
• Melody Christian Ridge, OTR/L
• Joslyn Ridgely, LPC
• Heidi Riemer, LPC, LCDC

• Emergency Medicine Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.