RICHARD A BEHAM M.D.
NPI 1568468023
Internal Medicine - Endocrinology, Diabetes & Metabolism in Toledo, OH
NPI Status: Active since June 21, 2005
Contact Information
2100 W CENTRAL AVE
SUITE 100
TOLEDO, OH
ZIP 43606
Phone: (419) 537-5111
Fax: (419) 537-5131
- Individual
- Male
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
- PECOS Enrolled
- Medicare Quality Reporting
About RICHARD BEHAM
This page provides the complete NPI Profile along with additional information for Richard Beham, an internist established in Toledo, Ohio with a medical specialization in Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1568468023 assigned on June 2005. The practitioner's primary taxonomy code is 207RE0101X with license number 35055885 (OH). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1568468023
- Provider Name
- RICHARD A BEHAM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2100 W CENTRAL AVE SUITE 100 TOLEDO, OH 43606
- Location Phone
- (419) 537-5111
- Location Fax
- (419) 537-5131
- Mailing Address
- 2100 W CENTRAL AVE SUITE 100 TOLEDO, OH 43606
- Mailing Phone
- (419) 537-5111
- Mailing Fax
- (419) 537-5131
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-21-2005
- Last Update Date
- 02-21-2014
- Code Navigator
An internist like Richard Beham is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35055885
- License State
- OH
- Taxonomy Description
- An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| BE0660576 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | |
| 4276722 | OTHER (01) | OH | AETNA |
| E76024 | MEDICARE UPIN (02) | OH | |
| 02043 | OTHER (01) | OH | PARAMOUNT |
| 460003229 | OTHER (01) | OH | MEDICARE RR |
| 0852653 | MEDICAID (05) | OH | |
| 000000203483 | OTHER (01) | OH | ANTHEM |
Medicare Participation & PECOS Enrollment Status
Richard Beham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
8 DME suppliers used 28 Medicare Claims 119 Services Paid
DME-Other DME (DE000N)
Normal, low and high calibrator solution / chips (HCPCS:A4256)
1 DME suppliers used 13 Medicare Claims 14 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
9 DME suppliers used 138 Medicare Claims 145 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43606 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Eye Exam | 99% | 305 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| e-Prescribing | 89% | 1820 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 95% | 21 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Medication Reconciliation | 92% | 49 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 34% | 1075 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 70% | 633 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 672 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide Patient Access | 99% | 1075 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 40% | 1075 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 4 | 6 | 8 | 0 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 8 | 6 | 16 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 8 + 6 + 1 + 6 + 0 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1568468023 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104823210 | PAUL V DELAMATER MD Individual | Pediatrics (Pediatric Endocrinology) | 2100 W CENTRAL AVE TOLEDO, OH 43606 (419) 537-5111 |
| 1336238732 | MRS. PATTI J GALLAGHER CNP Individual | Nurse Practitioner (Family) | 2100 W CENTRAL AVE SUITE 100 TOLEDO, OH 43606 (419) 537-5111 |
| 1972941045 | DR. ERIC ALAN PICKRELL MD Individual | Family Medicine | 2100 W CENTRAL AVE #200 TOLEDO, OH 43606 (419) 291-2051 |
| 1164861308 | DR. CHARLES ROHAN MILLER D.O. Individual | Family Medicine | 2100 W CENTRAL AVE #200 TOLEDO, OH 43606 (419) 291-2051 |
| 1821535568 | ABBY GRISHAM LSW Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2100 W CENTRAL AVE TOLEDO, OH 43606 (419) 537-5111 |
| 1770098147 | CHARLES RIEPENHOFF RPH, CDE Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 2100 W CENTRAL AVE TOLEDO, OH 43606 (419) 291-7045 |
| 1669719118 | DR. RACHEL ANNA ROCHA PHARMD Individual | Pharmacist | 2100 W CENTRAL AVE TOLEDO, OH 43606 (419) 291-4458 |
| 1861054686 | OMAR SROUR Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
| 1922660331 | DR. WALEED ABDULSATTAR Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
| 1720177314 | ENDOCRINE & DIABETES CARE CENTER INC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2100 W CENTRAL AVE SUITE 100 TOLEDO, OH 43606 (419) 537-5111 |
| 1205368537 | JUSTIN CHUANG M.D. Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
| 1184253098 | CHRISTOPHER NTINDA SIMWINGA MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
| 1164046595 | YASMIN F I KHADER MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (419) 291-6767 |
| 1801411954 | DR. DANIELLE NICOLE BOZEK MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
| 1891305348 | ABDULAZIZ HAMDAN ALDHAFEERI MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1614 |
| 1932710399 | WASEF A SAYEH MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1614 |
| 1336753953 | SAIF-EDDIN MALHAS MD Individual | Internal Medicine | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1600 |
| 1295303493 | SABEEN SIDIKI MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
| 1821738212 | ZACHARY HOLTZAPPLE MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
| 1205573888 | DR. AHMED EL RAHYEL MD Individual | Student in an Organized Health Care Education/Training Program | 2100 W CENTRAL AVE TOLEDO, OH 43606 (567) 420-1613 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568468023, enumerated in the NPI registry as an "individual" on June 21, 2005
The provider is located at 2100 W Central Ave Suite 100 Toledo, Oh 43606 and the phone number is (419) 537-5111
The provider's speciality is Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism
The provider might be accepting Accepts: Medicare, Medicaid, Aetna and Anthem Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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