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

Q: What is David Rivedal's NPI number?

The NPI number for David Rivedal is 1740643030. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is David Rivedal's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for David Rivedal was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: August 09, 2026.

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

On this page

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 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

Quality

66.24

Promoting Interoperability

100

Improvement Activities

Cost

68.64

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.

KUN-TAI HSU MD

Surgery (Surgery of the Hand)

1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226

Milwaukee County (414) 955-4263

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

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

SAMEER SHAKIR MD

Plastic Surgery

1155 N MAYFAIR RD STE T2600
MILWAUKEE, WI 53226

Milwaukee County (414) 955-3872

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

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 David Rivedal's NPI number?

The NPI number for David Rivedal is 1740643030. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is David Rivedal located?

David Rivedal practices at 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226. The listed phone number is (414) 955-1000.

What is David Rivedal's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is David Rivedal enrolled in Medicare?

Yes. David Rivedal 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 David Rivedal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Network Health list David Rivedal 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 David Rivedal affiliated with any hospitals?

According to CMS data, David Rivedal is affiliated with St Josephs Community Hospital West Bend and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for David Rivedal was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.