Active NPI 1780612226 Individual Practitioner Male Practitioner

Dr. James S Rich , MD

Internal Medicine • Biddeford, ME

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. James Rich, MD is a registered Internal Medicine practitioner in Biddeford, ME. With approximately 34 years of clinical practice since completing medical education in 1992, Dr. Rich provides healthcare services at the registered practice location at 1 MEDICAL CENTER DR.

Dr. Rich maintains professional affiliations with Hospital Medicine Services Of Colorado, Llc, 24 On Physicians Of Sc Llc, Intermountain Medical Group Grand Junction, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Center Dr

Biddeford, ME 040059422

Telephone 2076612986

Associated Practice Facility / Clinic

🏢 Southern Maine Imaging Associates, Inc Facility NPI 1114904521

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Biddeford, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.8 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

36 Specialists

Practicing in Biddeford, ME (620 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rich (34 Years) 34 Yrs

Biddeford Specialty Average (24.2 Years) 24.2 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	122	118	$384.10	$170.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	20	$174.00	$77.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	49	$300.65	$128.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	101	$479.68	$172.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	38	$161.34	$77.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	72	$354.92	$129.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	13	$229.64	$111.72
99238 Hospital discharge day management, 30 minutes or less	20	20	$172.56	$81.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	115	$469.34	$193.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	27	$160.50	$70.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$300.74	$133.09
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$267.23	$95.82
99220 Hospital observation care, typically 70 minutes	18	18	$402.83	$172.51
99238 Hospital discharge day management, 30 minutes or less	11	11	$162.00	$71.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	48	$139.73	$72.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	91	$437.28	$199.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$291.30	$136.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	15	$77.32	$38.48
99219 Hospital observation care, typically 50 minutes	22	22	$278.90	$134.53
99238 Hospital discharge day management, 30 minutes or less	18	18	$131.00	$72.69
99220 Hospital observation care, typically 70 minutes	17	17	$401.50	$182.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	189	97	$139.90	$73.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	69	$455.01	$203.85
99238 Hospital discharge day management, 30 minutes or less	60	59	$136.60	$74.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	35	$77.14	$40.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$314.10	$137.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	24	$199.00	$106.41
99220 Hospital observation care, typically 70 minutes	14	14	$391.25	$187.81
99217 Hospital observation care on day of discharge	12	12	$138.00	$74.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	203	98	$184.08	$72.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	157	$528.06	$201.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	74	$376.08	$136.58
99220 Hospital observation care, typically 70 minutes	52	52	$446.81	$185.82
99238 Hospital discharge day management, 30 minutes or less	34	33	$157.97	$73.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	21	$89.58	$39.48
99219 Hospital observation care, typically 50 minutes	28	27	$341.00	$131.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	20	$272.29	$103.81
99239 Hospital discharge day management, more than 30 minutes	17	17	$286.71	$107.02
99217 Hospital observation care on day of discharge	14	14	$157.86	$73.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	441	224	$196.53	$72.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	192	191	$528.51	$201.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	74	$275.20	$104.55
99238 Hospital discharge day management, 30 minutes or less	61	61	$200.41	$73.18
99220 Hospital observation care, typically 70 minutes	53	53	$509.92	$183.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	35	$104.70	$39.31
99239 Hospital discharge day management, more than 30 minutes	44	44	$280.82	$108.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$376.25	$135.10
99217 Hospital observation care on day of discharge	24	24	$198.88	$73.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	661	275	$209.72	$71.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	135	95	$292.30	$102.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	116	$513.53	$201.23
99238 Hospital discharge day management, 30 minutes or less	83	82	$209.94	$71.90
99239 Hospital discharge day management, more than 30 minutes	61	60	$310.02	$106.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	31	$110.54	$38.93
99220 Hospital observation care, typically 70 minutes	31	31	$437.55	$184.88
99217 Hospital observation care on day of discharge	29	29	$188.68	$72.39

Medical Specialties & State Licenses

CMS Verified: 2022-09-30

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX J4476

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CO 42167

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License ME 14868

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046973602 (TX)

Medicaid State Provider ID

15927547 (CO)

Commercial Insurance / Payer ID Rocky Mountain Health Pla

840428757012 (CO)

Commercial Insurance / Payer ID Bcbs

RIS68563 (CO)

Hospital & Practice Group Affiliations

Hospital Medicine Services Of Colorado, Llc

4567 E 9th Ave, Denver, CO 802203908

Phone: 3033202121

Intermountain Medical Group Grand Junction, Llc

1050 Wellington Ave, Grand Junction, CO 815018121

Phone: 9702985864

Intermountain Medical Group Grand Junction, Llc

2635 N 7th St, Grand Junction, CO 815018209

24 On Physicians Of Sc Llc

316 Calhoun St, Charleston, SC 294011113

Phone: 8437242901

Valley View Hospital Association

1906 Blake Ave, Glenwood Spgs, CO 816014227

Phone: 9709456535

Practice Associates & Co-Workers

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

40 Associated Practitioners

Molly Mclean , PA

Physician Assistant

NPI 1023651908

Physician Assistant

Christopher Canning , PA

Physician Assistant

NPI 1023755816

Physician Assistant

Courtney Santos

Physician Assistant

NPI 1023896115

Kimberly Caldwell , PA

Physician Assistant

NPI 1043345390

Physician Assistant

Suzanne Normand , OTR, L

Occupational Therapist

NPI 1053970152

Occupational Therapist Registered, L

Nancy Berube , OTR, L, CBIS

Occupational Therapist

NPI 1063071108

Occupational Therapist Registered, L, CBIS

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 30, 2022

Registered at 1 MEDICAL CENTER DR, BIDDEFORD, ME 040059422 (Tel: 2076612986)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2022

Internal Medicine (License #42167 in CO)

✅

NPI Profile Active September 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2016

Registered at 1300 W TERRELL AVE STE K230, FORT WORTH, TX 761042820 (Tel: 8172504906)

📍

Updated Business Mailing Address September 19, 2016

Registered at 1300 W TERRELL AVE STE K230, FORT WORTH, TX 761042820 (Tel: 8172504906)

👤

Provider Name / Credentials Updated September 19, 2016

Recorded as JAMES RICH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2016

Internal Medicine (License #J4476 in TX)

🟢

Initial NPI Registration & Enumeration June 30, 2006

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: 1780612226

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2006

Last Update: September 30, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1300 W Terrell Ave Ste K230

Fort Worth, TX 761042820

Phone: 8172504906

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.