DR. RICHARD J HORAK M.D.
NPI 1902092059
Radiology - Diagnostic Radiology in Green Bay, WI

Active since September 22, 2007PECOS EnrolledAccepts Medicare Assignment
1789 SHAWANO AVE, GREEN BAY, WI 54303(920) 499-1428 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2023, Feb 28, 2023, Jan 19, 2018 (3 updates tracked since 2018).

About Dr. Richard J Horak M.d. NPPES

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

DR. RICHARD J HORAK M.D. (NPI 1902092059) is an individual diagnostic radiology provider in Green Bay, Wisconsin, licensed in Wisconsin (52540-020) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902092059
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RICHARD J HORAKCredential: M.D.
Location Address1789 SHAWANO AVEGreen Bay, WI 54303-3243
Mailing Address1789 Shawano AveGreen Bay, WI 54303-3243 · (920) 499-1428 · Fax (920) 499-7080
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 22, 2007
Last NPPES UpdateMarch 20, 20233 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
NPI 1902092059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WI · 52540-020
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1789 SHAWANO AVE, Green Bay, WI 54303

Other Identifiers 1

Medicaid100030163WI

Accepted 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

Dr. Richard J Horak M.d. 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 ID1052576139
PECOS Enrollment IDI20130726000675, I20181115002017
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 49

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
272 services264 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
125 services125 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
96 services91 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
92 services87 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
64 services64 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
62 services60 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

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521356
Location820 Arbutus AveOconto, WI 54153 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%205 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
95%39 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303
Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303
Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303
Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303
Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303
Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303
Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303
Radiology (Diagnostic Radiology)
1789 SHAWANO AVE
GREEN BAY, WI 54303

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 Richard Horak's NPI number?

The NPI number for Richard Horak is 1902092059. It was assigned to this individual provider in the NPPES registry on September 22, 2007.

Where is Richard Horak located?

Richard Horak practices at 1789 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 499-1428.

What is Richard Horak's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Richard Horak enrolled in Medicare?

Yes. Richard Horak 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 Richard Horak accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) list Richard Horak 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 Richard Horak affiliated with any hospitals?

According to CMS data, Richard Horak is affiliated with Bellin Memorial Hospital, Bay Area Medical Center and Bellin Health Oconto Hospital.

When was this NPI record last updated?

The NPPES record for Richard Horak was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.