DR. RICHARD THOMAS ETHRIDGE MD NPI 1013108299

NPI Details

DR. Richard Thomas Ethridge, MD is a plastic and reconstructive surgery surgery in Fort Collins, CO with 23 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Richard Thomas Ethridge, MD NPI is 1013108299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2003

The provider's business location address is:

1100 POUDRE RIVER DR UNIT A
FORT COLLINS, CO
ZIP 80524-557
Phone: (970) 484-6303
Fax: (704) 843-0369

The NPI 1013108299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
• Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
• Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm (HCPCS:13131)
• Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm (HCPCS:14021)
• Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS:14020)
• Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm (HCPCS:13151)
• Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
• Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
• Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
• Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
• Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
• Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less (HCPCS:13133)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/5/2007 and was last updated on 1/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.