DR. RICHARD JAMES MARGAITIS D.O.
NPI 1720223332
Family Medicine in Orlando, FL

NPI Status: Active since December 10, 2008

Contact Information

7975 LAKE UNDERHILL RD
SUITE 210
ORLANDO, FL
ZIP 32822
Phone: (407) 303-6830

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  • Individual
  • Male
  • Years of Experience 20
  • Family Medicine
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About RICHARD MARGAITIS

This page provides the complete NPI Profile along with additional information for Richard Margaitis, a primary care provider established in Orlando, Florida with a medical specialization in Family Medicine and more than 20 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2006. The healthcare provider is registered in the NPI registry with number 1720223332 assigned on December 2008. The practitioner's primary taxonomy code is 207Q00000X with license number OS10291 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1720223332
Provider Name
DR. RICHARD JAMES MARGAITIS D.O.
Gender
Male
Entity Type
Individual
Location Address
7975 LAKE UNDERHILL RD SUITE 210 ORLANDO, FL 32822
Location Phone
(407) 303-6830
Mailing Address
7975 LAKE UNDERHILL RD STE 200 ORLANDO, FL 32822
Mailing Phone
(407) 303-6830
Mailing Fax
Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year
2006
Is Sole Proprietor?
Yes
Enumeration Date
12-10-2008
Last Update Date
09-01-2020
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A primary care provider (PCP) like Richard Margaitis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS10291
License State
FL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Standard 1828 - HMO
  • Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
  • Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
  • Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
  • Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Richard Margaitis is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Richard Margaitis 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

  • PECOS PAC ID: 9638332877

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140820001051

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

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 32822 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.62
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $21.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Richard Margaitis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ADVENTHEALTH ORLANDO601 E ROLLINS ST
ORLANDO, FL 32803
(407) 303-1976Acute Care Hospitals
ORLANDO HEALTH SOUTH LAKE HOSPITAL1900 DON WICKHAM DR
CLERMONT, FL 34711
(352) 394-4071Acute Care Hospitals

Reviews for DR. RICHARD JAMES MARGAITIS D.O.

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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.
1720223332
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274042636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 2 + 6 + 3 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720223332 is valid because the calculated check digit 2 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
1992720619 LYN JOHNSON D.O.
Individual
Family Medicine7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-6830
1114939782DR. EDWARD TING YEE M.D.
Individual
Internal Medicine7975 LAKE UNDERHILL RD SUITE 210
ORLANDO, FL 32822
(407) 303-8683
1609945880 SARAH K GEORGE MD
Individual
Internal Medicine (Hematology & Oncology)7975 LAKE UNDERHILL RD SUITE 130
ORLANDO, FL 32822
(407) 303-6772
1518170281DR. SHANNON A MILLER PHARMD
Individual
Pharmacist (Pharmacotherapy)7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-6574
1699961615SEAN MCFADDEN, D.O., P.A.
Organization
Orthopaedic Surgery7975 LAKE UNDERHILL RD SUITE 330
ORLANDO, FL 32822
(407) 381-8441
1083913750DR. CAROLYN ANN GUARNIERI AU.D., CCC-A
Individual
Audiologist-Hearing Aid Fitter7975 LAKE UNDERHILL RD SUITE 345
ORLANDO, FL 32822
(407) 303-8626
1700178407ADVENTIST HEALTH SYSTEM SUNBELT INC
Organization
Pediatrics7975 LAKE UNDERHILL RD SUITE 120
ORLANDO, FL 32822
(407) 303-6830
1275558900 THEODORE T. LEE M.D,
Individual
Internal Medicine7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-8683
1376899849DR. WAI KAN TO D.O.
Individual
Family Medicine7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-6830
1003967316DR. TIMOTHY EUGENE SPRUILL ED.D.
Individual
Psychologist7975 LAKE UNDERHILL RD SUITE 210
ORLANDO, FL 32822
(407) 303-6830
1871834135DR. ROBYN YOUNG DO
Individual
Family Medicine7975 LAKE UNDERHILL RD
ORLANDO, FL 32822
(407) 303-6830
1376795203 STEVEN M GALLAS DO
Individual
Family Medicine7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-6830
1649602780 JEREMY BIGHAM DO
Individual
Family Medicine7975 LAKE UNDERHILL RD SUITE 120
ORLANDO, FL 32822
(140) 730-3683
1285069393DR. TRAVIS GORDON DO
Individual
Family Medicine7975 LAKE UNDERHILL RD SUITE 210
ORLANDO, FL 32822
(407) 303-6830
1376832352 ALYAZ A SOMJI D.O.
Individual
Internal Medicine7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-6830
1962734004MRS. MEGHAN GAROFALO BATES PA
Individual
Physician Assistant (Medical)7975 LAKE UNDERHILL RD SUITE 150
ORLANDO, FL 32822
(407) 303-8110
1831419753MRS. ANITA FATIMA HAFEEZ D.O.
Individual
Family Medicine7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-6830
1275901951ADVENTIST HEALTH SYSTEM SUNBELT INC
Organization
Family Medicine (Sports Medicine)7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-8012
1386714574DR. KAMINI GEER MD
Individual
Family Medicine7975 LAKE UNDERHILL RD SUITE 200
ORLANDO, FL 32822
(407) 303-6830
1467812198 LEAH FRANK D.O.
Individual
Student in an Organized Health Care Education/Training Program7975 LAKE UNDERHILL RD SUITE 210
ORLANDO, FL 32822
(407) 303-8683

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720223332, enumerated in the NPI registry as an "individual" on December 10, 2008

The provider is located at 7975 Lake Underhill Rd Suite 210 Orlando, Fl 32822 and the phone number is (407) 303-6830

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 20 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2006.

The provider might be accepting Accepts: Aetna CVS Health, Florida Blue (BlueCross. 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 $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ADVENTHEALTH ORLANDO and ORLANDO HEALTH SOUTH LAKE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on December 10, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.