RANDY D READLING M.D.
NPI 1952361610
Psychiatry & Neurology - Psychiatry in Appleton, WI

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
320 S WALNUT ST, APPLETON, WI 54911(920) 832-5270(920) 832-4767 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 1, 2021, Oct 20, 2020 (3 updates tracked since 2020).

About Randy D Readling M.d. NPPES

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

RANDY D READLING M.D. (NPI 1952361610) is an individual psychiatry provider in Appleton, Wisconsin, licensed in North Carolina (93-00292) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1952361610
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRANDY D READLINGCredential: M.D.
Location Address320 S WALNUT STAppleton, WI 54911-5918
Mailing Address4525 N Ravenswood Ave Ste 201Chicago, IL 60640-5201 · (312) 857-8794 · Fax (708) 575-8311
Fax(920) 832-4767
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 27, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
NPI 1952361610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in NC · 93-00292 Licensed in IL · 036.147764 Licensed in WI · 1160
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
320 S WALNUT ST, Appleton, WI 54911

Other Identifiers 4

Other9300292NC · Nc Medical License
Other036.147764IL · Il Medical License
Other1160WI · Wi Medical License
Other93-00292NC · Medical License Number

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

Randy D Readling 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 ID9931110434
PECOS Enrollment IDI20210316002757
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.

Hospital Affiliations CMS Care Compare

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

Midwest Medical Center

Critical Access Hospitals · Galena, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141302
Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

Counselor (Professional)
320 S WALNUT ST
APPLETON, WI 54911
Social Worker (Clinical)
320 S WALNUT ST
APPLETON, WI 54911
Social Worker (Clinical)
320 S WALNUT ST
APPLETON, WI 54911
Counselor (Professional)
320 S WALNUT ST
APPLETON, WI 54911
Social Worker (Clinical)
320 S WALNUT ST
APPLETON, WI 54911
Social Worker
320 S WALNUT ST
APPLETON, WI 54911
Social Worker
320 S WALNUT ST
APPLETON, WI 54911
Nurse Practitioner (Family)
320 S WALNUT ST
APPLETON, WI 54911

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 Randy Readling's NPI number?

The NPI number for Randy Readling is 1952361610. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Randy Readling located?

Randy Readling practices at 320 S Walnut St, Appleton, WI 54911. The listed phone number is (920) 832-5270.

What is Randy Readling's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Randy Readling enrolled in Medicare?

Yes. Randy Readling 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 Randy Readling accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource (Common Ground Healthcare), Medica, Oscar Health Plan of North Carolina, Inc and Quartz and 1 other insurer list Randy Readling 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 Randy Readling affiliated with any hospitals?

According to CMS data, Randy Readling is affiliated with Midwest Medical Center.

When was this NPI record last updated?

The NPPES record for Randy Readling was last updated on March 7, 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.