Individual provider Active NPI

Charles Hunter Richmond, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Sherman, TX
National Provider Identifier
1710973995
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
J2280 Issued in TX
Practice address
204 Medical Dr Ste 200
Sherman, TX 75092-6374
Phone
(903) 771-7503
Fax
(903) 771-7821
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X J2280 TX Primary

Addresses

Primary practice location

204 Medical Dr Ste 200
Sherman, TX 75092-6374

Mailing address

204 Medical Dr Ste 200
Sherman, TX 75092-6374
Phone (903) 771-7503

Other identifiers 7

IdentifierTypeStateIssuer
J2280OtherTXSTATE LICENSE
4492270OtherTXAETNA
752546971002OtherTXTRICARE
3380289OtherTXBLUELINK
6826666002OtherTXCIGNA
N60HOtherTXBCBS
035052201MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000265 TX Practitioner - Otolaryngology 5799824322 Receives reassigned benefits from 1 practitioner
Practice locations: Anna, TX; Sherman, TX; Denison, TX

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical Branch at Galveston, 1985
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1216 Hillcrest Dr
Sherman, TX 75092-5507

204 Medical Dr
Suite 200
Sherman, TX 75092-6366

204 Medical Dr
Suite 200
Sherman, TX 75092-6374
Phone (903) 771-7503

3601 N Calais St
Sherman, TX 75090-1785
Phone (903) 870-0999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McDonald Arnot, DO CurrentSince Mar 3, 2024 Accepting new patients
Matador Anesthesia, PLLC Past Accepting new patients
Full Life Primary Care PLLC PastSince Nov 10, 2022 Accepting new patients
Lung Specialist Associates of Texas PLLC Past Accepting new patients

Locations

450 N Standridge Blvd
Ste 204
Anna, TX 75409
Phone (903) 771-7503

204 Medical Dr
Ste 200
Sherman, TX 75092
Phone (903) 771-7503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1710973995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926374",
            "telephone_number": "903-771-7503",
            "fax_number": "903-771-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926374",
            "telephone_number": "903-771-7503",
            "fax_number": "903-771-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "CHARLES",
        "middle_name": "HUNTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "J2280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "J2280",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4492270",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752546971002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK",
            "identifier": "3380289",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6826666002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "N60H",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035052201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.