RICK JAMES AVERY MD
NPI 1205490497
Family Medicine in Sturgeon Bay, WI

Q: What is Rick Avery's NPI number?

The NPI number for Rick Avery is 1205490497. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Q: What is Rick Avery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rick Avery was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment

323 S 18TH AVE, STURGEON BAY, WI 54235(920) 746-0510(920) 746-0099 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2026, Jan 17, 2023, Dec 14, 2022 and 1 more (4 updates tracked since 2019).

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About Rick James Avery Md NPPES

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

RICK JAMES AVERY MD (NPI 1205490497) is an individual family medicine provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (81273-20) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Door County Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205490497

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRICK JAMES AVERYCredential: MD

Location Address323 S 18TH AVESturgeon Bay, WI 54235-1401

Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 746-0510

Phone(920) 746-0510

Fax(920) 746-0099

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 24, 2019

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1205490497 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 · 81273-20

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.

323 S 18TH AVE, Sturgeon Bay, WI 54235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rick James Avery 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 ID7911371026

PECOS Enrollment IDI20230313000513

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.

Medicare Billing Reassignment

Medicare enrollment records show Rick Avery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Door County Memorial Hospital

Same address

Critical Access

323 S 18TH AVE
Sturgeon Bay, WI 54235

Reassigned Medicare billing, Wisconsin enrollment
131 clinicians in this Medicare group

NPI 1093743874 (920) 743-5566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 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.

Other Providers at the Same Location NPPES 20

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

JESSICA J SKINNER RN, IBCLC

Registered Nurse (Lactation Consultant)