RICHARD HUNTSMAN M.D.
NPI 1306228572
Surgery in Monroe, WI

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
515 22ND AVENUE, MONROE, WI 53566(608) 324-2000 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2023, Apr 2, 2021, Jan 7, 2021 (3 updates tracked since 2021).

About Richard Huntsman M.d. NPPES

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

RICHARD HUNTSMAN M.D. (NPI 1306228572) is an individual surgery provider in Monroe, Wisconsin, licensed in Wisconsin (73275) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1306228572
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD HUNTSMANCredential: M.D.
Location Address515 22ND AVENUEMonroe, WI 53566-1569
Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 324-2000 · Fax (608) 324-2469
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2015
Enumeration DateJune 24, 2015
Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
NPI 1306228572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 73275
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
515 22ND AVENUE, Monroe, WI 53566

Secondary Practice Location 1

Location 13400 E Racine StJanesville, WI 53546-2344 · Phone (608) 373-8000 · Fax (608) 373-8795

Other Identifiers 1

Medicaid1306228572WI

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

Richard Huntsman 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 ID1951613660
PECOS Enrollment IDI20201112000249
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 10

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 moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services26 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services20 patients

Hospital Affiliations CMS Care Compare 3

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53566 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.

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.

Clinic/Center (Health Service)
515 22ND AVENUE
MONROE, WI 53566
Social Worker (Clinical)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Family Medicine (Obesity Medicine)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Internal Medicine (Gastroenterology)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Family Medicine
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Physician Assistant (Medical)
515 22ND AVENUE
MONROE, WI 53566
Psychologist (Clinical)
515 22ND AVENUE, MONROE CLINIC
MONROE, WI 53566
Nurse Practitioner
515 22ND AVENUE
MONROE, WI 53566

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 Huntsman's NPI number?

The NPI number for Richard Huntsman is 1306228572. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Richard Huntsman located?

Richard Huntsman practices at 515 22nd Avenue, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is Richard Huntsman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Huntsman enrolled in Medicare?

Yes. Richard Huntsman 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 Richard Huntsman accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Richard Huntsman 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 Richard Huntsman affiliated with any hospitals?

According to CMS data, Richard Huntsman is affiliated with The Monroe Clinic, Ssm Health St Mary's Hospital - Janesville and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Richard Huntsman was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.