1. Home
  2. Directory
  3. Wisconsin
  4. Wauwatosa
  5. Surgery
  6. NPI Profile

DAVID RIVEDAL MD
NPI 1740643030
Surgery - Plastic and Reconstructive Surgery in Wauwatosa, WI

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1155 N MAYFAIR RD STE T2600, WAUWATOSA, WI 53226(414) 955-1000(414) 955-0183 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2023, Jul 17, 2023 (2 updates tracked since 2023).

About David Rivedal Md NPPES

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

DAVID RIVEDAL MD (NPI 1740643030) is an individual plastic and reconstructive surgery provider in Wauwatosa, Wisconsin, licensed in Wisconsin (68095) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of University Of Wisconsin School Of Medicine (2016).

NPPES Registry Identity

NPI1740643030
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDAVID RIVEDALCredential: MD
Location Address1155 N MAYFAIR RD STE T2600Wauwatosa, WI 53226-3464
Mailing Address1155 N Mayfair Rd Ste T2600Wauwatosa, WI 53226-3464 · (414) 955-1000 · Fax (414) 955-0183
Phone(414) 955-1000
Fax(414) 955-0183
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1740643030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in WI · 68095
Definition

A surgeon who specializes in plastic and reconstructive surgery.

1155 N MAYFAIR RD STE T2600, Wauwatosa, WI 53226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

David Rivedal 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 ID941564819
PECOS Enrollment IDI20230809003132
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services38 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
36 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 6

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

TIMOTHY JOHN STODDARD
Student in an Organized Health Care Education/Training Program
1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226
Milwaukee County (414) 955-1000
MS. AISHWARYA RAMAMURTHI
Student in an Organized Health Care Education/Training Program
1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226
Milwaukee County (414) 955-1000
NELSON AGUSTIN RODRIGUEZ UNDA M.D.
Surgery (Plastic and Reconstructive Surgery)
1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226
Milwaukee County (414) 955-1000
SAMEER SHAKIR MD
Plastic Surgery
1155 N MAYFAIR RD STE T2600
MILWAUKEE, WI 53226
Milwaukee County (414) 955-3872
KUN-TAI HSU MD
Surgery (Surgery of the Hand)
1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226
Milwaukee County (414) 955-4263
ALLISON CAMPBELL
Student in an Organized Health Care Education/Training Program
1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226
Milwaukee County (414) 805-5440

Frequently Asked Questions

What is David Rivedal's NPI number?

The NPI number assigned to this healthcare provider is 1740643030, enumerated as an "individual" on April 04, 2016.

Where is the provider located?

The provider is located at 1155 N MAYFAIR RD STE T2600 WAUWATOSA, WI 53226 and the phone number is (414) 955-1000.

What is the provider's specialty?

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

What insurance does David Rivedal accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Is David Rivedal affiliated with any hospitals?

David Rivedal is affiliated with: ST JOSEPHS COMMUNITY HOSPITAL WEST BEND and FROEDTERT MEMORIAL LUTHERAN HOSPITAL.