DR. SAMUEL JAMES RICKERL MD
NPI 1437103736
Obstetrics & Gynecology in De Witt, IA

Active since May 20, 2006PECOS Enrolled
121 6TH AVE, DE WITT, IA 52742(563) 357-6980(563) 202-5307 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2021, Jul 19, 2021, Mar 4, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Samuel James Rickerl Md NPPES

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

DR. SAMUEL JAMES RICKERL MD (NPI 1437103736) is an individual obstetrics & gynecology provider in De Witt, Iowa, licensed in Iowa (MD-31160) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437103736
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SAMUEL JAMES RICKERLCredential: MD
Location Address121 6TH AVEDe Witt, IA 52742-2041
Mailing Address121 6th AveDe Witt, IA 52742-2041 · (563) 357-6980 · Fax (563) 202-5307
Fax(563) 202-5307
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateDecember 10, 20214 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
NPI 1437103736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in IA · MD-31160 Licensed in IL · 036102988
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.

121 6TH AVE, De Witt, IA 52742

Other Identifiers 6

Other023235Health Alliance
Other19351Midlands Choice
Other55200IA · Wellmark Bc/bs
Other27198Iowa Health Solutions
OtherIA0165John Deere Health
Medicaid0137570IA

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 (PECOS)

Dr. Samuel James Rickerl 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52742 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437103736, enumerated as an "individual" on May 20, 2006.

The provider is located at 121 6TH AVE DE WITT, IA 52742 and the phone number is (563) 357-6980.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Medica, Medicare, Medicaid, Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.