DR. RICHARD J. GUDVANGEN MD
NPI 1952369142
Obstetrics & Gynecology in Brookings, SD

Q: What is Richard Gudvangen's NPI number?

The NPI number for Richard Gudvangen is 1952369142. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Richard Gudvangen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Gudvangen was last updated on April 29, 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.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

400 22ND AVE., BROOKINGS, SD 57006(605) 697-9500(605) 967-6939 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Richard J. Gudvangen Md NPPES

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

DR. RICHARD J. GUDVANGEN MD (NPI 1952369142) is an individual obstetrics & gynecology provider in Brookings, South Dakota, licensed in South Dakota (4633S) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1987).

NPPES Registry Identity

NPI1952369142

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. RICHARD J. GUDVANGENCredential: MD

Location Address400 22ND AVE.Brookings, SD 57006-2497

Mailing Address400 22nd Ave.Brookings, SD 57006-2497 · (605) 697-9500 · Fax (605) 967-6939

Phone(605) 697-9500

Fax(605) 967-6939

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1987

Enumeration DateMay 4, 2006

Last NPPES UpdateApril 29, 2008

✔ NPI 1952369142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in SD · 4633S

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

400 22ND AVE., Brookings, SD 57006

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Other Identifiers 3

Medicare PIN42285SD

Medicaid6201212SD

Medicare UPINE92764SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Gudvangen 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 ID8022082171

PECOS Enrollment IDI20210809000591

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.

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241344

Location715 Delmore DriveRoseau, MN 56751 · Roseau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57006 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

Other Providers at the Same Location NPPES 16

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

MS. AMY L. BAKKER PAC

Physician Assistant