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JAMES MARK RICHARDS MD
NPI 1871536003
Emergency Medicine in Woodruff, WI

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
81.65/100
CMS Quality Rating
240 MAPLE ST, WOODRUFF, WI 54568(715) 356-8920 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Mark Richards Md NPPES

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

JAMES MARK RICHARDS MD (NPI 1871536003) is an individual emergency medicine provider in Woodruff, Wisconsin, licensed in Wisconsin (40527) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Howard Young Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1871536003
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES MARK RICHARDSCredential: MD
Location Address240 MAPLE STWoodruff, WI 54568
Mailing Address2251 N Shore Dr, Suite 100Rhinelander, WI 54501-8360 · (715) 361-4700
Phone(715) 356-8920
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1871536003 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 · 40527
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.
240 MAPLE ST, Woodruff, WI 54568
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Other Identifiers 1

Medicaid32488800WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Mark 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 ID8426243700
PECOS Enrollment IDI20101111001457
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 James Richards reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Howard Young Medical Center, Inc.
Same address
General Acute Care Hospital
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 358 clinicians in this Medicare group
NPI 1134183171 (715) 356-8000
Aspirus Eagle River Hospital & Clinics, Inc.
22 mi
Critical Access
201 HOSPITAL RD
Eagle River, WI 54521
  • Reassigned Medicare billing, Wisconsin enrollment
  • 262 clinicians in this Medicare group
NPI 1346204385 (715) 479-7411

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

Areas of Expertise CMS Part B claims 8

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.

Emergency department visit with moderate level of medical decision making 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.
120 services115 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.
80 services76 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
68 services67 patients
Emergency department visit with high level of medical decision making 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.
62 services60 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services29 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Aspirus Eagle River Hospital

Critical Access Hospitals · Eagle River, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521300
Location201 Hospital RoadEagle River, WI 54521 · Vilas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54568 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.

81.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.32
Promoting Interoperability100
Improvement Activities40
Cost67.54

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.

LONNA L GROSSKOPF CRNA
Nurse Anesthetist, Certified Registered
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8000
TAYLOR GRACE KOEHNEN PAC
Physician Assistant
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8000
MS. ELIZABETH LEE HORWATH MSN, RN, AGACNP, FNP
Nurse Practitioner (Family)
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8140
CALI HOLAN MD
Emergency Medicine
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8920
THE HOWARD YOUNG MEDICAL CENTER, INC.
General Acute Care Hospital
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8000
AMY M. KOEPKE APNP
Nurse Practitioner (Family)
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8920
MICHAEL K TONNE PA
Physician Assistant (Medical)
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8000
STEPHANIE A MIKOLICZAK PT
Physical Therapist
240 MAPLE ST
WOODRUFF, WI 54568
Oneida County (715) 356-8000

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 James Richards's NPI number?

The NPI number for James Richards is 1871536003. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is James Richards located?

James Richards practices at 240 Maple St, Woodruff, WI 54568. The listed phone number is (715) 356-8920.

What is James Richards's specialty?

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

Is James Richards enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Richards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Richards reassigns Medicare benefits to 2 organizations: The Howard Young Medical Center, Inc. (Woodruff, WI) and Aspirus Eagle River Hospital & Clinics, Inc. (Eagle River, 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 James Richards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Richards affiliated with any hospitals?

According to CMS data, James Richards is affiliated with Howard Young Medical Center and Aspirus Eagle River Hospital.

When was this NPI record last updated?

The NPPES record for James Richards was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.