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STEPHEN C RIGGS MD
NPI 1013968825
Family Medicine in Fort Atkinson, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
740 REENA AVE, FORT ATKINSON, WI 53538(920) 563-0888(920) 568-3516 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2020, Mar 19, 2019, Jan 22, 2016 (3 updates tracked since 2016).

About Stephen C Riggs Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN C RIGGS MD (NPI 1013968825) is an individual family medicine provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (37841-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of State University Of Ny Upstate Medical University (1993).

NPPES Registry Identity

NPI1013968825
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN C RIGGSCredential: MD
Location Address740 REENA AVEFort Atkinson, WI 53538-3145
Mailing Address740 Reena AveFort Atkinson, WI 53538-3145 · (920) 563-0888 · Fax (920) 568-3516
Phone(920) 563-0888
Fax(920) 568-3516
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1993
Enumeration DateMay 15, 2006
Last NPPES UpdateNovember 23, 20203 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1013968825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 37841-020
Definition
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.
740 REENA AVE, Fort Atkinson, WI 53538
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Other Identifiers 1

Medicaid1013968825WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen C Riggs Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224172820
PECOS Enrollment IDI20100220000089
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
437 services247 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
387 services214 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
253 services253 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
167 services159 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
91 services90 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
81 services81 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%137 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
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
38%34 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%231 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
17%284 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
51%94 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers55 claims133 services$5.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims16 services$1.01 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims24 services$5.06 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$4.35 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.33 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$2.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADDISON BANACH
Physical Therapist
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
JEFFERY F KNEIERT OD
Optometrist
740 REENA AVE, SUITE B
FORT ATKINSON, WI 53538
Jefferson County (920) 563-8468
BARRY P CASH MD
Family Medicine
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
COLLEEN S HEBERT O.D.
Optometrist
740 REENA AVE, SUITE B
FORT ATKINSON, WI 53538
Jefferson County (920) 563-8468
DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
DR. JACOB EDWARD TABER DO
Family Medicine
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
DR. ALYCE ANASTASIA HOFMANN O.D.
Optometrist
740 REENA AVE, SUITE B
FORT ATKINSON, WI 53538
Jefferson County (920) 563-8468
SARAH M WANKOWSKI PT, DPT
Physical Therapist
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (608) 371-8775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Riggs's NPI number?

The NPI number for Stephen Riggs is 1013968825. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Stephen Riggs located?

Stephen Riggs practices at 740 Reena Ave, Fort Atkinson, WI 53538. The listed phone number is (920) 563-0888.

What is Stephen Riggs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Riggs enrolled in Medicare?

Yes. Stephen Riggs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Riggs accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephen Riggs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Riggs affiliated with any hospitals?

According to CMS data, Stephen Riggs is affiliated with Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison, University Of Wi Hospitals & Clinics Authority and Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for Stephen Riggs was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.