RICHARD G. TO MD
NPI 1962788687
Internal Medicine - Interventional Cardiology in West Burlington, IA

Q: What is Richard To's NPI number?

The NPI number for Richard To is 1962788687. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Q: What is Richard To's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Richard To was last updated on March 31, 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.

Active since October 26, 2011PECOS EnrolledAccepts Medicare Assignment

77.81/100

CMS Quality Rating

1221 S GEAR AVE, WEST BURLINGTON, IA 52655(319) 768-1000 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Richard G. To Md NPPES

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

RICHARD G. TO MD (NPI 1962788687) is an individual interventional cardiology provider in West Burlington, Iowa, licensed in Iowa (39849) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1962788687

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameRICHARD G. TOCredential: MD

Location Address1221 S GEAR AVEWest Burlington, IA 52655-1679

Mailing Address1221 S. Gear AvenueWest Burlington, IA 52655-1654 · (319) 768-1000

Phone(319) 768-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateOctober 26, 2011

Last NPPES UpdateMarch 31, 2021

NPPES CertifiedMarch 31, 2021

✔ NPI 1962788687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in IA · 39849

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 39849 (IA)

1221 S GEAR AVE, West Burlington, IA 52655

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Richard G. To 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 ID4183898794

PECOS Enrollment IDI20111116000891

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 23

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

2,668 services1,841 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,396 services915 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

618 services604 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.

229 services199 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

97 services97 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

92 services92 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

74 services73 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

73 services43 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

72 services72 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

71 services69 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

65 services65 patients

Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350

This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.

54 services54 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

39 services39 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.

25 services25 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

24 services24 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

16 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services13 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

14 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

12 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

12 services12 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160057

Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County

Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA

OwnershipGovernment - Local

CMS Certification Number161356

Location407 S White StMount Pleasant, IA 52641 · Henry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

77.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.62

Promoting Interoperability

100

Improvement Activities

Cost

58.43

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.

MS. SHEVANI UVENI GANESH M.D

Psychiatry & Neurology (Psychosomatic Medicine)

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-1000

RACHEL CROOKS

Nurse Anesthetist, Certified Registered

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-1000

SOUTHEAST IOWA ANESTHESIA PLC

Anesthesiology

1221 S GEAR AVE
W BURLINGTON, IA 52655

Des Moines County (319) 768-1000

HALEY HINES PA-C

Physician Assistant

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 329-5752

DR. SIVA GADDE M.D.,

Hospitalist

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-3471

JILL ANN NEALEY

Occupational Therapist

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 850-0281

VIVIAN ANDERSON

Nurse Anesthetist, Certified Registered

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-1000

MARK WALZ CRNA

Nurse Anesthetist, Certified Registered

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-1000

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 To's NPI number?

The NPI number for Richard To is 1962788687. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Richard To located?

Richard To practices at 1221 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 768-1000.

What is Richard To's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Richard To enrolled in Medicare?

Yes. Richard To 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 To accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Richard To 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 To affiliated with any hospitals?

According to CMS data, Richard To is affiliated with Blessing Hospital, Trinity Rock Island, Southeast Iowa Regional Medical Center, University Of Iowa Hospital & Clinics and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Richard To was last updated on March 31, 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.