RICHARD CLUTSON MD
NPI 1023087319
Radiology - Diagnostic Radiology in Beaver Dam, WI
About Richard Clutson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD CLUTSON MD (NPI 1023087319) is an individual diagnostic radiology provider in Beaver Dam, Wisconsin, licensed in Wisconsin (34963) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Richard Clutson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Richard Clutson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Encino, CA 91436
- Reassigned Medicare billing, California enrollment
- 329 clinicians in this Medicare group
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 311 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEAVER DAM, WI 53916
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 Richard Clutson's NPI number?
The NPI number for Richard Clutson is 1023087319. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is Richard Clutson located?
Richard Clutson practices at 116 Monroe St, Beaver Dam, WI 53916. The listed phone number is (608) 359-8884.
What is Richard Clutson's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Richard Clutson enrolled in Medicare?
Yes. Richard Clutson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Richard Clutson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Clutson reassigns Medicare benefits to 2 organizations: San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA) and Pronet Imaging Medical Group, Inc. (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Clutson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Richard Clutson was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Richard Clutson, MD · NPI 1023087319
Diagnostic Radiology physician in Beaver Dam, Wisconsin. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1023087319 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 34963 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 116 MONROE ST, Beaver Dam, WI 53916-2437
- **Phone:** (608) 359-8884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): San Fernando Valley Interventional Radiology And Imaging Center (NPI 1942350889, Encino, CA); Pronet Imaging Medical Group, Inc. (NPI 1528099488, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 074E15875; Medicare UPIN F34542; Medicaid 32006600 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1023087319) · Data from the CMS NPPES public registry.