Richard Clutson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34963 Issued in WI

Practice address

116 Monroe St
Beaver Dam, WI 53916-2437

Phone

(608) 359-8884

NPI assigned

Mar 17, 2006

Last updated

Mar 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

78.24 of 100Reported as group

Quality

51.34

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portage Radiology, SC

  • Diagnostic Radiology Physician
  • Portage, WI
  • NPI 1104834811
  Medicare reassignment NPD
• Pronet Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1528099488
  Medicare reassignment NPD
• San Fernando Valley Interventional Radiology and Imaging Center

  • Vascular-Interventional Technology Radiologic Technologist
  • Encino, CA
  • NPI 1942350889
  Medicare reassignment NPD
• Radiology Associates of Beaver Dam LTD

  • Diagnostic Radiology Physician
  • Beaver Dam, WI
  • NPI 1942201876
  NPD (past)
• Mineral King Radiological Medical Group, Inc

  dba VIP Specialists

  • Diagnostic Radiology Physician
  • Visalia, CA
  • NPI 1578505202
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1023087319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MONROE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162437",
            "telephone_number": "608-359-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MONROE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162437",
            "telephone_number": "608-359-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTSON",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "34963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32006600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Church Health Services
• Church Health Services, Inc.
• Church Health Services, Inc.
• City of Beaver Dam Et Al (Beaver Dam Fire Department)
• Susan Dorsch Clark, OTR
• Edward F Cody, MD
• Robert A Coe, MD
• Community Pediatrics SC
• Daniel Conard
• Consultants Laboratory of Wisconsin, LLC (SSM Health Laboratories)

• Diagnostic Radiology Physician in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.