Active NPI 1205834074 Individual Practitioner Male Practitioner

Dr. Tyrun Keith Richardson , MD

Urology • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tyrun Richardson, MD is a certified Urology practicing in Springfield, MO. With approximately 43 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1983, Dr. Richardson delivers high-quality medical care to the local community at 1965 S FREMONT AVE.

Dr. Richardson is affiliated with Mercy Clinic Springfield Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1965 S Fremont Ave
Ste 370

Springfield, MO 658042201

Telephone 4178200300

Associated Practice Facility / Clinic

🏢 Mercy Hospital Springfield Facility NPI 1982644514

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Springfield, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +14.4 yrs vs City Avg

City Avg: 28.6 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Springfield, MO (282 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Richardson (43 Years) 43 Yrs

Springfield Specialty Average (28.6 Years) 28.6 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
81003 Automated urinalysis test	363	287	$12.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	284	239	$132.00	$82.95
51798 Ultrasound measurement of bladder capacity after voiding	181	152	$53.00	$9.59
81001 Manual urinalysis test with examination using microscope, automated	181	154	$13.00	$3.11
52000 Diagnostic exam of bladder and urethra using an endoscope	53	40	$568.00	$207.12
52356 Crushing of stone of ureter with insertion of stent using an endoscope	47	41	$1667.02	$392.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	41	35	$679.78	$138.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$188.00	$117.22
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	25	$736.00	$282.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$171.00	$99.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$257.00	$153.58
51705 Removal of skin suture with change of bladder tube	20	11	$224.00	$86.95
74420 Imaging of urinary tract	19	18	$68.00	$21.69
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	18	15	$927.00	$220.04
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$191.00	$77.14
51702 Simple insertion of temporary bladder tube	15	12	$174.00	$54.97
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2756.00	$675.30
52353 Crushing of stone of ureter using an endoscope	14	13	$1195.00	$342.76
50590 Shock wave crushing of kidney stones	12	12	$2157.00	$528.60
52287 Exam with injections of chemical for destruction of bladder using an endoscope	12	11	$641.00	$149.95
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$1087.00	$245.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	588	498	$12.00	$2.19
99213 Established patient office or other outpatient visit, typically 15 minutes	508	437	$122.54	$83.87
51798 Ultrasound measurement of bladder capacity after voiding	402	340	$53.00	$9.24
81001 Manual urinalysis test with examination using microscope, automated	376	326	$15.43	$3.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	168	$173.37	$119.69
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	118	17	$775.59	$167.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$252.65	$156.57
52000 Diagnostic exam of bladder and urethra using an endoscope	68	59	$568.00	$212.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$168.80	$103.56
81015 Urinalysis using microscope	53	52	$13.00	$2.99
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	37	31	$930.41	$232.13
52356 Crushing of stone of ureter with insertion of stent using an endoscope	35	32	$1706.91	$403.78
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	25	$658.89	$123.08
74420 Imaging of urinary tract	26	25	$68.00	$23.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$252.00	$124.96
51702 Simple insertion of temporary bladder tube	23	17	$174.00	$54.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$79.09	$51.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	16	$56.00	$30.29
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	18	$349.84	$51.07
76872 Ultrasound scan of pelvic region through rectum	18	18	$329.11	$122.51
52287 Exam with injections of chemical for destruction of bladder using an endoscope	17	16	$643.12	$140.42
55700 Biopsy of prostate gland	17	17	$548.00	$222.17
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2766.67	$685.42
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$736.00	$291.73
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$191.00	$79.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	666	544	$114.00	$84.74
51798 Ultrasound measurement of bladder capacity after voiding	519	418	$53.00	$9.13
81003 Automated urinalysis test	409	361	$12.00	$2.20
81015 Urinalysis using microscope	382	321	$13.00	$3.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	236	$163.00	$119.28
81001 Manual urinalysis test with examination using microscope, automated	120	116	$18.00	$3.11
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	15	$865.45	$179.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$249.00	$156.02
52000 Diagnostic exam of bladder and urethra using an endoscope	66	55	$568.00	$221.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$166.00	$105.58
52356 Crushing of stone of ureter with insertion of stent using an endoscope	44	36	$1731.82	$414.56
51702 Simple insertion of temporary bladder tube	43	24	$174.00	$57.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	37	32	$641.08	$110.82
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	34	33	$736.00	$298.14
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	25	22	$936.88	$214.15
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	21	21	$2783.62	$695.81
74420 Imaging of urinary tract	20	18	$68.00	$24.00
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	13	$56.00	$29.93
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	15	$647.25	$161.65
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	11	11	$976.00	$268.38
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	11	11	$207.00	$52.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	800	664	$112.64	$86.04
51798 Ultrasound measurement of bladder capacity after voiding	548	443	$53.00	$8.99
81003 Automated urinalysis test	437	378	$12.00	$2.24
81015 Urinalysis using microscope	361	310	$13.00	$3.02
81001 Manual urinalysis test with examination using microscope, automated	162	138	$18.00	$3.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	138	$162.84	$123.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$166.00	$104.84
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	104	16	$929.33	$169.75
84153 Psa (prostate specific antigen) measurement, total	88	82	$101.00	$18.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$249.00	$159.95
36415 Insertion of needle into vein for collection of blood sample	74	71	$12.00	$3.00
52000 Diagnostic exam of bladder and urethra using an endoscope	65	49	$568.00	$215.51
87086 Bacterial colony count, urine	55	47	$39.00	$8.07
74420 Imaging of urinary tract	42	42	$68.00	$24.38
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	38	31	$40.00	$8.65
51705 Removal of skin suture with change of bladder tube	38	12	$224.00	$90.52
87077 Bacterial culture for aerobic isolates	37	31	$24.00	$8.08
51702 Simple insertion of temporary bladder tube	32	20	$174.00	$58.73
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	27	27	$948.00	$238.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	22	$665.46	$119.04
52287 Exam with injections of chemical for destruction of bladder using an endoscope	23	21	$654.22	$161.09
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	20	$1678.82	$412.66
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	19	$736.00	$291.07
74018 X-ray of abdomen, 1 view	19	16	$56.00	$18.63
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	15	$56.00	$29.58
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	13	$1113.43	$273.44
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$511.50	$121.13
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2817.00	$706.45
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	11	11	$207.00	$53.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	996	14	$7.00	$2.80
99213 Established patient office or other outpatient visit, typically 15 minutes	591	446	$110.00	$70.71
51798 Ultrasound measurement of bladder capacity after voiding	362	279	$53.00	$9.05
81001 Manual urinalysis test with examination using microscope, automated	330	251	$18.00	$3.14
81003 Automated urinalysis test	323	266	$12.00	$2.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	190	190	$166.00	$101.64
84153 Psa (prostate specific antigen) measurement, total	173	142	$101.00	$18.28
87086 Bacterial colony count, urine	158	121	$39.00	$7.98
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	144	16	$949.00	$226.84
36415 Insertion of needle into vein for collection of blood sample	140	120	$12.00	$2.98
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	105	78	$40.00	$8.59
87077 Bacterial culture for aerobic isolates	102	77	$24.00	$8.02
52000 Diagnostic exam of bladder and urethra using an endoscope	56	47	$568.00	$192.40
74420 Imaging of urinary tract	51	49	$68.00	$24.77
51702 Simple insertion of temporary bladder tube	49	24	$174.00	$56.96
51720 Instillation of anti-cancer drug into bladder	36	14	$314.00	$78.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	28	$792.24	$140.22
52356 Crushing of stone of ureter with insertion of stent using an endoscope	29	28	$1796.41	$438.33
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	23	20	$958.00	$230.05
52287 Exam with injections of chemical for destruction of bladder using an endoscope	22	22	$661.00	$170.02
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$736.00	$272.76
52353 Crushing of stone of ureter using an endoscope	16	15	$926.25	$431.28
80048 Blood test, basic group of blood chemicals (calcium, total)	14	11	$47.00	$8.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$252.00	$134.22
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$518.00	$131.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	625	428	$110.00	$69.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	214	214	$166.00	$101.18
81002 Urinalysis, manual test	204	172	$12.00	$3.40
84153 Psa (prostate specific antigen) measurement, total	203	159	$101.00	$19.97
81000 Manual urinalysis test with examination using microscope, non-automated	195	148	$17.00	$3.93
36415 Insertion of needle into vein for collection of blood sample	176	149	$12.00	$2.93
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	170	21	$949.00	$224.62
51798 Ultrasound measurement of bladder capacity after voiding	125	99	$53.00	$11.16
87086 Bacterial colony count, urine	118	74	$39.00	$8.79
81001 Manual urinalysis test with examination using microscope, automated	104	66	$18.00	$3.45
81003 Automated urinalysis test	77	70	$12.00	$2.44
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	72	43	$40.00	$9.42
87077 Bacterial culture for aerobic isolates	67	40	$24.00	$8.79
74420 Imaging of urinary tract	52	50	$68.00	$24.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	24	$99.00	$38.51
52000 Diagnostic exam of bladder and urethra using an endoscope	43	39	$568.00	$174.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	13	$51.00	$15.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	24	$134.00	$71.00
52204 Biopsy of the bladder using an endoscope	26	25	$556.00	$119.75
51702 Simple insertion of temporary bladder tube	24	12	$174.00	$57.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	20	$658.67	$112.66
52005 Insertion of tube into ureter using an endoscope through bladder area	23	23	$518.00	$132.24
80048 Blood test, basic group of blood chemicals (calcium, total)	22	21	$47.00	$9.21
55700 Biopsy of prostate gland	20	20	$546.60	$234.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$252.00	$133.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$339.00	$53.51
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	15	14	$976.00	$289.73
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	14	$661.00	$158.32
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$2170.67	$473.64
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$736.00	$253.91
74018 X-ray of abdomen, 1 view	14	13	$56.00	$16.40
84403 Testosterone (hormone) level, total	13	12	$106.00	$28.11
76775 Limited ultrasound scan behind abdominal cavity	11	11	$111.36	$25.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	573	426	$110.00	$67.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	261	261	$166.00	$100.37
87086 Bacterial colony count, urine	171	103	$39.00	$9.76
81000 Manual urinalysis test with examination using microscope, non-automated	170	137	$17.42	$3.92
84153 Psa (prostate specific antigen) measurement, total	144	116	$101.00	$22.15
81002 Urinalysis, manual test	138	125	$12.00	$3.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	129	18	$949.00	$215.43
36415 Insertion of needle into vein for collection of blood sample	128	113	$12.00	$2.91
81001 Manual urinalysis test with examination using microscope, automated	126	78	$18.00	$3.84
51798 Ultrasound measurement of bladder capacity after voiding	116	94	$53.00	$13.82
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	111	64	$40.00	$10.46
87077 Bacterial culture for aerobic isolates	108	64	$24.00	$9.77
74420 Imaging of urinary tract	69	67	$68.55	$16.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	36	$99.00	$37.89
81003 Automated urinalysis test	46	43	$12.00	$2.66
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	35	$671.59	$122.81
52000 Diagnostic exam of bladder and urethra using an endoscope	39	32	$568.00	$152.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	34	$134.00	$70.18
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	29	$736.00	$229.98
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	22	$1628.00	$412.18
51702 Simple insertion of temporary bladder tube	22	11	$172.64	$58.71
52204 Biopsy of the bladder using an endoscope	22	21	$556.00	$127.00
52281 Dilation of bladder canal (urethra) using an endoscope	20	20	$600.70	$145.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$252.00	$132.05
80048 Blood test, basic group of blood chemicals (calcium, total)	18	18	$47.00	$10.23
52005 Insertion of tube into ureter using an endoscope through bladder area	18	18	$519.67	$124.66
84403 Testosterone (hormone) level, total	16	15	$106.00	$28.52
99238 Hospital discharge day management, 30 minutes or less	16	16	$144.00	$69.90
74018 X-ray of abdomen, 1 view	15	15	$56.00	$14.88
55700 Biopsy of prostate gland	13	13	$546.00	$216.54
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	13	13	$55.69	$27.56
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$385.23	$74.93
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	13	13	$1385.00	$328.25
76872 Ultrasound scan of pelvic region through rectum	12	12	$336.50	$87.56
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	11	11	$36.00	$7.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	444	282	$107.69	$65.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	295	295	$165.54	$96.63
51798 Ultrasound measurement of bladder capacity after voiding	175	134	$53.00	$16.16
81000 Manual urinalysis test with examination using microscope, non-automated	164	124	$18.00	$4.26
81002 Urinalysis, manual test	136	115	$12.00	$2.80
74420 Imaging of urinary tract	50	48	$69.00	$16.47
87086 Bacterial colony count, urine	39	27	$39.00	$9.41
81015 Urinalysis using microscope	38	37	$15.00	$3.80
36415 Insertion of needle into vein for collection of blood sample	38	36	$12.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	38	36	$101.00	$24.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	19	$99.00	$36.53
81001 Manual urinalysis test with examination using microscope, automated	33	29	$18.00	$4.26
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	24	$772.67	$131.32
52356 Crushing of stone of ureter with insertion of stent using an endoscope	30	26	$1736.53	$396.02
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	28	$736.00	$218.90
52000 Diagnostic exam of bladder and urethra using an endoscope	27	24	$568.00	$142.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	23	$312.92	$47.76
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	25	17	$40.00	$11.62
87077 Bacterial culture for aerobic isolates	25	17	$24.00	$10.86
76872 Ultrasound scan of pelvic region through rectum	23	20	$298.74	$72.13
74000 X-ray of abdomen, single view	21	20	$49.00	$12.07
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$191.00	$94.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$320.00	$188.23
55700 Biopsy of prostate gland	19	19	$546.00	$211.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$134.00	$67.02
81003 Automated urinalysis test	17	16	$12.00	$2.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$252.00	$127.17
52005 Insertion of tube into ureter using an endoscope through bladder area	15	15	$520.73	$94.48
52281 Dilation of bladder canal (urethra) using an endoscope	13	13	$602.62	$144.09
99238 Hospital discharge day management, 30 minutes or less	12	12	$144.00	$66.73
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$958.00	$234.12

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MO 2016012292

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License KS 04-33531

Urology

NUCC Taxonomy Code: 208800000X

State License OK 31026

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

PENDING (MO)

Medicaid State Provider ID

PENDING (AR)

Medicaid State Provider ID

200456750H (OK)

Medicaid State Provider ID

200566690A (OK)

Medicaid State Provider ID

200615150A (KS)

Hospital & Practice Group Affiliations

Mercy Clinic Springfield Communities

1965 S Fremont Ave, Springfield, MO 658042284

Phone: 4178200300

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Mark Walterskirchen , MD

Urology

NPI 1083637524

Doctor of Medicine (M.D.)

David Williams , NP

Nurse Practitioner - Family

NPI 1215520820

Nurse Practitioner

Melissa Johnson , PA

Physician Assistant

NPI 1710231139

Physician Assistant

Dr. Jeffrey Johnson , MD

Urology

NPI 1750427399

Doctor of Medicine (M.D.)

Dr. Robert Johnson , MD

Urology

NPI 1841330412

Doctor of Medicine (M.D.)

Lyndsey Baker

Nurse Practitioner

NPI 1891623203

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 16, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2016

Registered at 1965 S FREMONT AVE, STE 370, SPRINGFIELD, MO 658042201 (Tel: 4178200300)

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Updated Business Mailing Address June 16, 2016

Registered at PO BOX 505164, SAINT LOUIS, MO 631505164 (Tel: 4178294620)

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Provider Name / Credentials Updated June 16, 2016

Recorded as TYRUN RICHARDSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Urology (License #2016012292 in MO)

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Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205834074

Entity Type:

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

Enumeration Date: July 14, 2005

Last Update: June 16, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 505164

Saint Louis, MO 631505164

Phone: 4178294620

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.