Richard Bell

Individual provider Active NPI Podiatrist · Rockford, IL

NPI 1265895239 · NPPES record last updated Mar 29, 2016

Key facts

NPI
1265895239
Entity type
Individual (NPI type 1)
Primary specialty
Podiatrist 213E00000X
License
016005666 (IL)
Practice address
6055 Boxwood Dr
Rockford, IL 61114-6559
Phone
(801) 494-7944
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Regional Health Care Foundation (86 clinicians)

Practice addresses (Care Compare)

1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-7421

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

1120 Healthcare Dr
Mount Carroll, IL 61053-1461
Phone (815) 244-4181

600 N Rush St
Stockton, IL 61085-1010
Phone (815) 947-3211

Hospital & facility affiliations

  • FHN Memorial Hospital Hospital · Freeport, IL · CCN 140160

Merit-based Incentive Payment System (MIPS)

Final score
83.84 of 100 (group)
Quality
75.22
Promoting interoperability
92
Improvement activities
40
Cost
73.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue346
Removal of nail tissue710
Removal or shaving of skin growth64

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170815001965 IL Practitioner - Podiatry 6608164793 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
016005666ILMDPodiatrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005666 IL Yes

Addresses

Primary practice location

6055 Boxwood Dr
Rockford, IL 61114-6559

Mailing address

6055 Boxwood Dr
Rockford, IL 61114-6559
Phone (801) 494-7944

Other providers in Rockford, IL

All providers in Rockford, IL · Podiatrist in Illinois

Sources for this page

Verify at the official NPI Registry.