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DAVID GEARHART RICHARDS MD
NPI 1790719201
Internal Medicine in De Pere, WI

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3860 MONROE RD, DE PERE, WI 54115(920) 496-4700(920) 431-1950 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Gearhart Richards Md NPPES

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

DAVID GEARHART RICHARDS MD (NPI 1790719201) is an individual internal medicine provider in De Pere, Wisconsin, licensed in Wisconsin (40231) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1997).

NPPES Registry Identity

NPI1790719201
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID GEARHART RICHARDSCredential: MD
Location Address3860 MONROE RDDe Pere, WI 54115-8399
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 431-1950
Phone(920) 496-4700
Fax(920) 431-1950
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1997
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 21, 2008
✔ NPI 1790719201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 40231
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3860 MONROE RD, De Pere, WI 54115
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Other Identifiers 3

Medicare UPINH20806
Medicaid34002800WI
Medicare ID-Type Unspecified07125-0150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.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 Gearhart Richards 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 ID9133290547
PECOS Enrollment IDI20080612000327
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
313 services220 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.
230 services171 patients
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.
160 services113 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
147 services138 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
114 services106 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers56 claims129 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers18 claims26 services$0.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$94.75 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims26 services$35.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims56 services$2.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$83.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CASSANDRA VANSTRATEN LPC
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
ROSALYN H HAASE RD CD
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
DANIELLE CASPER
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
MARIE D. IBARRA STAFFORD LPC
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
DR. JOSHUA VINCENT EGLE PT, DPT
Physical Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
MR. DAN J BRAATEN LMFT, SAC
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
STEPHANIE PREVOST M.S.
Counselor (Professional)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
ALEKSANDRA BABIARZ MD
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700

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 Richards's NPI number?

The NPI number for David Richards is 1790719201. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is David Richards located?

David Richards practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is David Richards's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Richards enrolled in Medicare?

Yes. David Richards 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 Richards accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list David Richards 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 Richards affiliated with any hospitals?

According to CMS data, David Richards is affiliated with Bellin Memorial Hospital, St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for David Richards was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.