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MR. THOMAS JON RISHAVY MD
NPI 1295771798
Plastic Surgery in Duluth, MN

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
4316 RICE LAKE RD STE 109, DULUTH, MN 55811(218) 724-7363(218) 724-6199 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Jon Rishavy Md NPPES

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

MR. THOMAS JON RISHAVY MD (NPI 1295771798) is an individual plastic surgery provider in Duluth, Minnesota, licensed in Minnesota (45103) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Creighton University School Of Medicine (1996).

NPPES Registry Identity

NPI1295771798
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. THOMAS JON RISHAVYCredential: MD
Location Address4316 RICE LAKE RD STE 109Duluth, MN 55811-2885
Mailing Address4316 Rice Lake Rd Ste 109Duluth, MN 55811-2885 · (218) 724-7363 · Fax (218) 724-6199
Phone(218) 724-7363
Fax(218) 724-6199
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1996
Enumeration DateJune 22, 2006
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1295771798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MN · 45103
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4316 RICE LAKE RD STE 109, Duluth, MN 55811
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Other Identifiers 1

Medicaid078738800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.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

Mr. Thomas Jon Rishavy 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 ID2769464700
PECOS Enrollment IDI20040603000938
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

NORTHLAND PLASTIC SURGERY, PA
Plastic Surgery
4316 RICE LAKE RD STE 109
DULUTH, MN 55811
St. Louis County (218) 724-7363
DR. AMEYA ATUL CHUMBLE MD
Plastic Surgery
4316 RICE LAKE RD STE 109
DULUTH, MN 55811
St. Louis County (218) 724-7363
DEAN HERBERT WEBER MD
Plastic Surgery
4316 RICE LAKE RD STE 109
DULUTH, MN 55811
St. Louis County (218) 724-7363
MICHAEL JACOB SCHROEDER MD
Plastic Surgery
4316 RICE LAKE RD STE 109
DULUTH, MN 55811
St. Louis County (218) 724-7363

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 Thomas Rishavy's NPI number?

The NPI number for Thomas Rishavy is 1295771798. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Thomas Rishavy located?

Thomas Rishavy practices at 4316 Rice Lake Rd Ste 109, Duluth, MN 55811. The listed phone number is (218) 724-7363.

What is Thomas Rishavy's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Thomas Rishavy enrolled in Medicare?

Yes. Thomas Rishavy 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 Thomas Rishavy accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Thomas Rishavy 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 Thomas Rishavy affiliated with any hospitals?

According to CMS data, Thomas Rishavy is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Rishavy was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.