Individual provider Active NPI

Gregory T Richburg, MD

  • Emergency Medicine Physician
  • Park Falls, WI
National Provider Identifier
1376596684
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45455-020 Issued in WI
Practice address
50 Sherry Ave
Park Falls, WI 54552-1467
Phone
(715) 762-3212
NPI assigned
May 18, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45455-020 WI Primary

Addresses

Primary practice location

50 Sherry Ave
Park Falls, WI 54552-1467

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

3237 S 16th St
Milwaukee, WI 53215-4526
Phone (414) 527-8728

Other identifiers 1

IdentifierTypeStateIssuer
34378700MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060906000285 WI Practitioner - Emergency Medicine 4082618095 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45455-020WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Mar 4, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 4, 2024 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 4, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 4, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 4, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 4, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 4, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 4, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 4, 2024 Accepting new patients
Ermed, SC Emergency Medicine Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

50 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-3212

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1376596684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SHERRY AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521467",
            "telephone_number": "715-762-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3237 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154526",
            "country_code": "US",
            "telephone_number": "414-527-8728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHBURG",
        "first_name": "GREGORY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "45455-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34378700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "50 Sherry Ave",
            "city": "Park Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545521467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Falls, WI

Sources for this page

Verify at the official NPI Registry.