NPIMap

Individual provider Active NPI

Kevin Michael Richardson, DO

  • Family Medicine Physician
  • Glasgow, KY
National Provider Identifier
1689136897
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05121 Issued in KY
Practice address
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone
(270) 659-5870
Fax
(270) 659-5851
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05121 KY Primary

Addresses

Primary practice location

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300

Mailing address

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 659-5870

Other identifiers 1

IdentifierTypeStateIssuer
7100805120MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201218000542 TX Practitioner - Family Practice 5890107619 Reassigns benefits to 1 organization
I20220309002434 KY Practitioner - Family Practice 5890107619 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians
Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians

Practice addresses (Care Compare)

1011 Old State Rd
Suite 60
Hardinsburg, KY 40143
Phone (270) 756-7000

214 Main St
Cadiz, KY 42211-9153
Phone (270) 522-0898

254 Main St
Cadiz, KY 42211-9153
Phone (270) 522-3215

Hospital & facility affiliations

  • Breckinridge Memorial Hospital Hospital, Hardinsburg, KY, CCN 181319
  • Connally Memorial Medical Center Hospital, Floresville, TX, CCN 450108
  • Trigg County Hospital Hospital, Cadiz, KY, CCN 181304
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Livingston Hospital and Healthcare Services, Inc Hospital, Salem, KY, CCN 181320

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05121KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trigg County Hospital, Inc CurrentSince Oct 1, 2024 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Trigg County Hospital, Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
CCMH Corporation CurrentSince Feb 25, 2022 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Concord Medical Group of Kentucky PLLC CurrentSince May 1, 2025 Accepting new patients
CCMH Corporation Current Accepting new patients
CCMH Corporation CurrentSince Feb 25, 2022 Accepting new patients
T J Samson Community Hospital Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Leitchfield Primary Care PLLC Family Medicine PastSince May 1, 2025 Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

Organizations & group practices 11

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1689136897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5870",
            "fax_number": "270-659-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5870",
            "fax_number": "270-659-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100805120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.