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GAINES E RICHARDSON MD
NPI 1841349917
Family Medicine - Hospice and Palliative Medicine in New Glarus, WI

Active since January 09, 2007PECOS Enrolled
1800 2ND ST, NEW GLARUS, WI 53574(608) 527-5296 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2021, Dec 24, 2020 (2 updates tracked since 2020).

About Gaines E Richardson Md NPPES

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

GAINES E RICHARDSON MD (NPI 1841349917) is an individual hospice and palliative medicine provider in New Glarus, Wisconsin, licensed in Wisconsin (38784-20) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fond Du Lac.

NPPES Registry Identity

NPI1841349917
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameGAINES E RICHARDSONCredential: MD
Location Address1800 2ND STNew Glarus, WI 53574-9326
Mailing Address1800 2nd StNew Glarus, WI 53574-9326 · (608) 527-5296
Phone(608) 527-5296
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1841349917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in WI · 38784-20
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036-102494 (IL), 38784 (WI)
1800 2ND ST, New Glarus, WI 53574
Open in Google Maps ↗

Secondary Practice Location 1

Location 1239 Trowbridge DrFond Du Lac, WI 54937-9180 · Phone (920) 923-7950

Other Identifiers 12

Medicaid32399400WI
Other390808509Wps
Other11565Dean Health Plan
Other390808509Cigna
Other390808509Ct General
Other39080850991Unity
Other32399400Hirsp
Other80138944Medicare Railroad
Other1017410Physicians Plus
Other54979Health Alliance Medical
Other90002361Wea Ins
Other690004890Mediare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaines E Richardson Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gaines Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Monroe Clinic, Inc.
13 mi
Specialist
515 22ND AVE
Monroe, WI 53566
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1386720548 (608) 324-2770
Agnesian Healthcare
61 mi
Mental Health (Including Community Mental Health Center)
200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
NPI 1700817657 (920) 885-2780

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53574 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 2

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

THE MONROE CLINIC, INC.
Durable Medical Equipment & Medical Supplies
1800 2ND ST
NEW GLARUS, WI 53574
Green County (608) 527-5296
CHRISTIAN JAMES SPRINGER DO
Family Medicine
1800 2ND ST
NEW GLARUS, WI 53574
Green County (608) 527-5296

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 Gaines Richardson's NPI number?

The NPI number for Gaines Richardson is 1841349917. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Gaines Richardson located?

Gaines Richardson practices at 1800 2nd St, New Glarus, WI 53574. The listed phone number is (608) 527-5296.

What is Gaines Richardson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Gaines Richardson enrolled in Medicare?

Yes. Gaines Richardson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gaines Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaines Richardson reassigns Medicare benefits to 2 organizations: The Monroe Clinic, Inc. (Monroe, WI) and Agnesian Healthcare (Beaver Dam, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gaines Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gaines Richardson accept?

Health plans from Network Health list Gaines Richardson 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.

When was this NPI record last updated?

The NPPES record for Gaines Richardson was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.