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RUDY V. BYRON JR. M.D.
NPI 1376573386
Family Medicine in Racine, WI

Active since July 04, 2006Opted out of Medicare · through Jul 23, 2027
3807 SPRING ST, RACINE, WI 53405(262) 687-8173 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rudy V. Byron Jr. M.d. NPPES

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

RUDY V. BYRON JR. M.D. (NPI 1376573386) is an individual family medicine provider in Racine, Wisconsin, licensed in Wisconsin (42218) and active in the NPI registry since July 2006. He has opted out of Medicare through July 23, 2027 and remains eligible to order and refer, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1376573386
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRUDY V. BYRON JR.Credential: M.D.
Location Address3807 SPRING STRacine, WI 53405-1667
Mailing Address3807 Spring StRacine, WI 53405-1667 · (262) 687-8173
Phone(262) 687-8173
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376573386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 42218
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3807 SPRING ST, Racine, WI 53405
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Other Identifiers 1

Medicare UPINH19701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rudy V. Byron Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2015 through July 23, 2027.

Opt-Out Effective DateJuly 23, 2015
Opt-Out In Effect ThroughJuly 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$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 20

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

JEFFREY NAUS MD
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282
CAMILLE A. PAQUETTE-SCHULGIT M.D.
Family Medicine
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173
LESLEY DELGADO M.D.
Pediatrics
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8282
SACHIN H. PANCHAL M.D.
Internal Medicine
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MS. LINDA M THOMSON RPH
Pharmacist
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8430
ASCENSION ALL SAINTS HOSPITAL, INC
Pharmacy (Community/Retail Pharmacy)
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8430
LESLIE M HERTZ MD
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282
KYLIE S NORDNESS PA-C
Physician Assistant
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173

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 Rudy Byron's NPI number?

The NPI number for Rudy Byron is 1376573386. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Rudy Byron located?

Rudy Byron practices at 3807 Spring St, Racine, WI 53405. The listed phone number is (262) 687-8173.

What is Rudy Byron's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rudy Byron enrolled in Medicare?

No. Rudy Byron has opted out of Medicare through July 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Rudy Byron affiliated with any hospitals?

According to CMS data, Rudy Byron is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Rudy Byron was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.