DR. RUDOLPH FRANCIS EVONICH III M.D.
NPI 1205909967
Internal Medicine - Clinical Cardiac Electrophysiology in Green Bay, WI

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
744 S WEBSTER AVE FL 2, GREEN BAY, WI 54301(920) 433-3640(920) 433-3716 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2023, Jan 7, 2022, Oct 8, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Rudolph Francis Evonich Iii M.d. NPPES

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

DR. RUDOLPH FRANCIS EVONICH III M.D. (NPI 1205909967) is an individual clinical cardiac electrophysiology provider in Green Bay, Wisconsin, licensed in Wisconsin (77869-20) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205909967
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. RUDOLPH FRANCIS EVONICH IIICredential: M.D.
Location Address744 S WEBSTER AVE FL 2Green Bay, WI 54301-3505
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Fax(920) 433-3716
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2000
Enumeration DateNovember 17, 2006
Last NPPES UpdateApril 10, 20234 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
NPI 1205909967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses Licensed in WI · 77869-20 Licensed in WI · 21241-875 Licensed in MI · 4301076776
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
744 S WEBSTER AVE FL 2, Green Bay, WI 54301

Secondary Practice Locations 2

Location 11414 W Fair Ave, Suite 334Marquette, MI 49855-2675 · Phone (906) 225-3870 · Fax (906) 225-4861
Location 22820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388

Other Identifiers 4

OtherP00412659Railroad Medicare
Other0605210971MI · Blue Cross Blue Shield
Medicaid5184312MI
Medicaid34966000WI

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 and accepts Medicare assignment

Dr. Rudolph Francis Evonich Iii M.d. 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 ID9537269055
PECOS Enrollment IDI20070713000159, I20211018000695
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 34

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
414 services327 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
196 services135 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
129 services102 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
122 services114 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
117 services82 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
110 services99 patients

Hospital Affiliations CMS Care Compare 5

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

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521356
Location820 Arbutus AveOconto, WI 54153 · Oconto County
Emergency services

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 54301 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 12

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

Nurse Practitioner (Family)
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301
Internal Medicine (Interventional Cardiology)
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301
Nurse Practitioner
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301
Internal Medicine (Cardiovascular Disease)
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301
Nurse Practitioner (Family)
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301
Nurse Practitioner (Family)
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301
Internal Medicine (Clinical Cardiac Electrophysiology)
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301
Internal Medicine (Cardiovascular Disease)
744 S WEBSTER AVE FL 2
GREEN BAY, WI 54301

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 Rudolph Evonich's NPI number?

The NPI number for Rudolph Evonich is 1205909967. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Rudolph Evonich located?

Rudolph Evonich practices at 744 S Webster Ave Fl 2, Green Bay, WI 54301. The listed phone number is (920) 433-3640.

What is Rudolph Evonich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Rudolph Evonich enrolled in Medicare?

Yes. Rudolph Evonich 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 Rudolph Evonich accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) and 1 other insurer list Rudolph Evonich 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 Rudolph Evonich affiliated with any hospitals?

According to CMS data, Rudolph Evonich is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital, Holy Family Memorial, Bellin Health Oconto Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Rudolph Evonich was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.