PETER E RYDELL DDS
NPI 1063435139
Dentist - General Practice in Hayward, WI

Active since July 26, 2006PECOS Enrolled
15704 W US HIGHWAY 63, HAYWARD, WI 54843(715) 634-4864(715) 634-6305 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter E Rydell Dds NPPES

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

PETER E RYDELL DDS (NPI 1063435139) is an individual general practice provider in Hayward, Wisconsin, licensed in Wisconsin (4139) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063435139
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePETER E RYDELLCredential: DDS
Location Address15704 W US HIGHWAY 63Hayward, WI 54843-6475
Mailing Address15704 W Us Highway 63Hayward, WI 54843-6475 · (715) 634-4864 · Fax (715) 634-6305
Fax(715) 634-6305
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063435139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4139
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

15704 W US HIGHWAY 63, Hayward, WI 54843

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Peter E Rydell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063435139, enumerated as an "individual" on July 26, 2006.

The provider is located at 15704 W US HIGHWAY 63 HAYWARD, WI 54843 and the phone number is (715) 634-4864.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.