TIMOTHY S RAICHLE MD
NPI 1407844178
Obstetrics & Gynecology in Appleton, WI

Active since October 07, 2005PECOS Enrolled
99.3/100
CMS Quality Rating
1531 S MADISON ST, APPLETON, WI 54915(920) 730-4413 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Timothy S Raichle Md NPPES

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

TIMOTHY S RAICHLE MD (NPI 1407844178) is an individual obstetrics & gynecology provider in Appleton, Wisconsin, licensed in Wisconsin (42657) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407844178
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTIMOTHY S RAICHLECredential: MD
Location Address1531 S MADISON STAppleton, WI 54915-1800
Mailing Address2955 Triverton Pike DrFitchburg, WI 53711 · (608) 227-7007 · Fax (608) 227-7027
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateNovember 9, 2010
✔ NPI 1407844178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 42657
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1531 S MADISON ST, Appleton, WI 54915

Other Identifiers 1

Medicare UPINH81469

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy S Raichle Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Timothy Raichle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2955 TRIVERTON PIKE DR
Fitchburg, WI 53711
  • Reassigned Medicare billing, Wisconsin enrollment
  • 20 clinicians in this Medicare group
Family Medicine
1809 SPRINGDALE STREET
Mount Horeb, WI 53572
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1487745501 (Wisconsin)
  • 166 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
15701 COUNTY ROAD K
Darlington, WI 53530
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1114987054 (Wisconsin)
  • 53 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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
$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.

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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.74
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1531 S MADISON ST
APPLETON, WI 54915
Social Worker (Clinical)
1531 S MADISON ST, STE 550
APPLETON, WI 54915
Nurse Practitioner
1531 S MADISON ST
APPLETON, WI 54915
Nurse Practitioner (Psychiatric/Mental Health)
1531 S MADISON ST
APPLETON, WI 54915
Counselor (Addiction (Substance Use Disorder))
1531 S MADISON ST
APPLETON, WI 54915
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915
Obstetrics & Gynecology
1531 S MADISON ST
APPLETON, WI 54915
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915

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 Timothy Raichle's NPI number?

The NPI number for Timothy Raichle is 1407844178. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Timothy Raichle located?

Timothy Raichle practices at 1531 S Madison St, Appleton, WI 54915. The listed phone number is (920) 730-4413.

What is Timothy Raichle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy Raichle enrolled in Medicare?

Yes. Timothy Raichle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Raichle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Raichle reassigns Medicare benefits to 3 organizations: Melius, Schurr & Cardwell (Fitchburg, WI), Upland Hills Health, Inc (Mount Horeb, WI) and Lafayette County (Darlington, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Raichle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Raichle accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Timothy Raichle 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 Timothy Raichle was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.