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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIMON RICHARD YADGIR
NPI 1477257491
Family Medicine in New London, WI

Active since March 27, 2023PECOS Enrolled
1405 MILL ST, NEW LONDON, WI 54961(920) 531-2400(920) 531-2466 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Simon Richard Yadgir NPPES

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

SIMON RICHARD YADGIR (NPI 1477257491) is an individual family medicine provider in New London, Wisconsin, licensed in Wisconsin (85394) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1477257491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSIMON RICHARD YADGIR
Location Address1405 MILL STNew London, WI 54961-2155
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900
Phone(920) 531-2400
Fax(920) 531-2466
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1477257491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 85394
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.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 85394 (WI)
Also ListedHospitalistTaxonomy 208M00000X · License 85394 (WI)
1405 MILL ST, New London, WI 54961
Open in Google Maps ↗

Secondary Practice Location 1

Location 1229 S Morrison StAppleton, WI 54911-5725 · Phone (920) 832-2783

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Richard Yadgir 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 54961 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.

SIERRA RENEE KACZOCHA
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2031
MRS. AMANDA KAY DOUMA APNP
Nurse Practitioner (Family)
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2021
NATALIE G GAUTHIER APNP
Nurse Practitioner
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2400
COURTNEY NICOLE GARCIA PT
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2000
MRS. KIMBERLY ILEANA JACOBS OTR
Occupational Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2031
THEDACARE MEDICAL CENTER - NEW LONDON, INC.
Anesthesiology
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2092
MRS. JAYME M CWIK PTA
Physical Therapy Assistant
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (888) 982-3550
DR. JAMES MICHAEL DOOLIN RPH
Pharmacist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2400

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 Simon Yadgir's NPI number?

The NPI number for Simon Yadgir is 1477257491. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Simon Yadgir located?

Simon Yadgir practices at 1405 Mill St, New London, WI 54961. The listed phone number is (920) 531-2400.

What is Simon Yadgir's specialty?

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

Is Simon Yadgir enrolled in Medicare?

Yes. Simon Yadgir is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simon Yadgir was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.