DR. RANDALL RUVALCABA MD
NPI 1659316149
Emergency Medicine in Brookfield, WI

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
19333 W NORTH AVE, BROOKFIELD, WI 53045(414) 258-3939 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Randall Ruvalcaba Md NPPES

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

DR. RANDALL RUVALCABA MD (NPI 1659316149) is an individual emergency medicine provider in Brookfield, Wisconsin, licensed in Wisconsin (34562) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Medical College Of Wisconsin (1992).

NPPES Registry Identity

NPI1659316149
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RANDALL RUVALCABACredential: MD
Location Address19333 W NORTH AVEBrookfield, WI 53045-4132
Mailing Address19333 W North AveBrookfield, WI 53045-4132
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1992
Enumeration DateJune 18, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1659316149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 34562
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

19333 W NORTH AVE, Brookfield, WI 53045

Other Identifiers 2

Medicaid32119800WI
Medicare UPING04939WI

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 and accepts Medicare assignment

Dr. Randall Ruvalcaba 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 ID2567525066
PECOS Enrollment IDI20090109000255
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
256 services230 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
176 services163 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services75 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services35 patients

Hospital Affiliations CMS Care Compare

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53045 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.

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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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.

Anesthesiology
19333 W NORTH AVE
BROOKFIELD, WI 53045
Anesthesiology
19333 W NORTH AVE
BROOKFIELD, WI 53045
Anesthesiology
19333 W NORTH AVE
BROOKFIELD, WI 53045
Emergency Medicine
19333 W NORTH AVE, ELMBROOK MEMORIAL HOSPITAL
BROOKFIELD, WI 53045
General Acute Care Hospital
19333 W NORTH AVE
BROOKFIELD, WI 53045
Radiology (Radiation Oncology)
19333 W NORTH AVE
BROOKFIELD, WI 53045
Anesthesiology
19333 W NORTH AVE
BROOKFIELD, WI 53045
Emergency Medicine
19333 W NORTH AVE
BROOKFIELD, WI 53045

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 Randall Ruvalcaba's NPI number?

The NPI number for Randall Ruvalcaba is 1659316149. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Randall Ruvalcaba located?

Randall Ruvalcaba practices at 19333 W North Ave, Brookfield, WI 53045. The listed phone number is (414) 258-3939.

What is Randall Ruvalcaba's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Randall Ruvalcaba enrolled in Medicare?

Yes. Randall Ruvalcaba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Ruvalcaba accept?

Health plans from CareSource (Common Ground Healthcare) list Randall Ruvalcaba 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.

Is Randall Ruvalcaba affiliated with any hospitals?

According to CMS data, Randall Ruvalcaba is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Randall Ruvalcaba was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.