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Deactivated NPI 1912342825 Deactivated / Inactive NPI Female Practitioner

Dr. Camille Yvonne Richards , MD

Surgery • Fort Smith, AR

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Camille Richards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 06, 2013
NPI Deactivation Date February 25, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Camille Richards, MD was a registered Surgery in Fort Smith, AR. Prior to record deactivation on 2020-02-25, Dr. Richards completed approximately 7 years of clinical practice following graduation from Meharry Medical College School Of Medicine in 2013.

Dr. Richards was affiliated with Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and accepted Medicare assignment.

Historical Medicare Part B clinical services included outpatient office visit, follow-up hospital inpatient care per day, initial hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

923 Lexington Ave

Fort Smith, AR 729014943

Telephone 4797097350
Fax 4797097355
Associated Practice Facility / Clinic
🏢 Sparks Medical Foundation Facility NPI 1033219449

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Smith, AR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -13.4 yrs vs City Avg
City Avg: 26.4 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Fort Smith, AR (301 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Richards (13 Years) 13 Yrs
Fort Smith Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
26 15 $59.00 $25.29

Medical Specialties & State Licenses

CMS Verified: 2023-01-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AR E-12542

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 296570

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05385355 (NY)
Medicaid State Provider ID
236803001 (AR)

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

1221 Mercantile Ln, Largo, MD 207745374

Phone: 3016185700

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

1701 Twin Springs Rd, Halethorpe, MD 212273553

Phone: 4107375000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1083602486

Doctor of Medicine (M.D.)

NPI 1407047459

Doctor of Medicine (M.D.)

NPI 1780672170

Doctor of Medicine (M.D.)

NPI 1790710119

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location April 06, 2022

Registered at 923 LEXINGTON AVE, FORT SMITH, AR 729014943 (Tel: 4797097350)

📍
Updated Business Mailing Address April 06, 2022

Registered at 11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 722114393 (Tel: 5018127215)

NPI Profile Active April 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2020

Registered at 4401 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 134135331 (Tel: 3157972398)

📍
Updated Business Mailing Address April 03, 2020

Registered at 1500 DODSON AVE, SUITE 285, FORT SMITH, AR 72901

👤
Provider Name / Credentials Updated April 03, 2020

Recorded as CAMILLE RICHARDS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2020

Surgery (License #296570 in NY)

⚠️
NPI Profile Deactivated February 25, 2020

Record deactivated on February 25, 2020

📍
Updated Practice Location July 17, 2019

Registered at 4401 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 134135331 (Tel: 3157972398)

📍
Updated Practice Location December 10, 2018

Registered at 1656 CHAMPLIN AVE, UTICA, NY 135024830 (Tel: 3156244090)

📍
Updated Business Mailing Address December 10, 2018

Registered at 2209 GENESEE STREET, BUSINESS OFFICE ROOM 310, UTICA, NY 13501

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2018

Surgery (License #296570 in NY)

NPI Profile Active May 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2013

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102342 (Tel: 6158668362)

📍
Updated Business Mailing Address May 06, 2013

Registered at 10 ATHLONE AVE, BRAMPTON, ONTARIO L6T2N7

👤
Provider Name / Credentials Updated May 06, 2013

Recorded as CAMILLE RICHARDS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912342825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2013
Last Update: January 30, 2023
Deactivation Date: February 25, 2020
Sole Proprietor: No

Mailing Address

11001 Executive Center Dr Ste 200

Little Rock, AR 722114393

Phone: 5018127215

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.