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RICHARD L ERDMAN M.D.
NPI 1326090697
Internal Medicine in Green Bay, WI

Active since May 16, 2006PECOS Enrolled
94.61/100
CMS Quality Rating
725 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3456 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard L Erdman M.d. NPPES

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

RICHARD L ERDMAN M.D. (NPI 1326090697) is an individual internal medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (24509) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326090697
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD L ERDMANCredential: M.D.
Location Address725 S WEBSTER AVEGreen Bay, WI 54301-3500
Mailing Address508 Randall AveDe Pere, WI 54115-2638 · (920) 246-0172
Phone(920) 433-3456
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1326090697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 24509
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 24509-020 (WI)
725 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 3

Other930121595WI · Medicare Railroad
Medicaid30717200WI
Medicaid104462228MI

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), Network Health 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 (PECOS)

Richard L Erdman M.d. 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 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%68 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. WILLIAM B HITCH PH.D., ABPP
Psychologist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995
ABIGAIL N GOOD OT
Occupational Therapist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3655
MEGAN C BRZEZINSKI APNP
Nurse Practitioner
725 S WEBSTER AVE, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 430-7100
HALEY M HYLER PA
Physician Assistant
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 431-5650
DR. DAVID K KAUFMAN MD
Psychiatry & Neurology (Neurology)
725 S WEBSTER AVE, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 430-7100
ALEXANDRA N NELSON PA-C
Physician Assistant
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995
ALEXANDRIA M CAELWAERTS D-PT
Physical Therapist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995
JORDAN CHRISTINE PEROUTKY SLP
Speech-Language Pathologist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995

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 Erdman's NPI number?

The NPI number for Richard Erdman is 1326090697. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Richard Erdman located?

Richard Erdman practices at 725 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3456.

What is Richard Erdman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Erdman enrolled in Medicare?

Yes. Richard Erdman is registered in the Medicare PECOS enrollment system.

What insurance does Richard Erdman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Richard Erdman 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.

When was this NPI record last updated?

The NPPES record for Richard Erdman was last updated on October 13, 2022. 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.