DUSTIN JON RICHTER MD
NPI 1346700333
Orthopaedic Surgery - Sports Medicine in Manitowoc, WI

Q: What is Dustin Richter's NPI number?

The NPI number for Dustin Richter is 1346700333. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Dustin Richter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Richter was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 25, 2019PECOS EnrolledAccepts Medicare Assignment

2300 WESTERN AVE, MANITOWOC, WI 54220(920) 320-2011 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2025, Nov 5, 2024, Jul 29, 2024 (3 updates tracked since 2024).

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About Dustin Jon Richter Md NPPES

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

DUSTIN JON RICHTER MD (NPI 1346700333) is an individual sports medicine provider in Manitowoc, Wisconsin, licensed in Wisconsin (74081-20) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346700333

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDUSTIN JON RICHTERCredential: MD

Location Address2300 WESTERN AVEManitowoc, WI 54220-3712

Mailing Address1650 S 41st StManitowoc, WI 54220-7316 · (920) 320-2436

Phone(920) 320-2011

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateSeptember 23, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1346700333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in WI · 74081-20

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD2024-0321 (NM)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2300 WESTERN AVE, Manitowoc, WI 54220

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Secondary Practice Locations 3

Location 1Msc10 5600 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-2231

Location 21650 S 41st StManitowoc, WI 54220-7316 · Phone (920) 320-2436

Location 38701 W. Watertown Plank Road, Department of Orthopaedic Surgery MCW - HUBMilwaukee, WI 53226 · Phone (414) 955-3212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners 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

Dustin Jon Richter 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 ID941635544

PECOS Enrollment IDI20251029002557

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 Reassignments

Medicare enrollment records show Dustin Richter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Froedtert Manitowoc Medical Group, LLC

Same address

Multi-Specialty

2300 WESTERN AVE
Manitowoc, WI 54220

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

NPI 1437829975 (920) 320-2436

Unm Medical Group Inc

1,182 mi

Multi-Specialty

2211 LOMAS NE
Albuquerque, NM 87106

Reassigned Medicare billing, New Mexico enrollment
2,105 clinicians in this Medicare group

NPI 1831218627 (505) 272-3303

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.

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

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.

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