Individual provider Active NPI

Timothy S Raichle, MD

  • Obstetrics & Gynecology Physician
  • Appleton, WI
National Provider Identifier
1407844178
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42657 Issued in WI
Practice address
1531 S Madison St
Appleton, WI 54915-1800
Phone
(920) 730-4413
NPI assigned
Oct 7, 2005
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 42657 WI Primary

Addresses

Primary practice location

1531 S Madison St
Appleton, WI 54915-1800

Mailing address

2955 Triverton Pike Dr
Fitchburg, WI 53711
Phone (608) 227-7007

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
I20070813000626 WI Practitioner - Obstetrics/Gynecology 8022109503 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42657WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette County CurrentSince Jun 1, 2025 Accepting new patients
Lafayette County CurrentSince Jun 1, 2025 Accepting new patients
Melius, Schurr & Cardwell Obstetrics & Gynecology CurrentSince Jan 1, 2001 Accepting new patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upland Hills Health, Inc CurrentSince May 1, 2016 Accepting new patients
Upland Hills Health, Inc CurrentSince May 1, 2016 Accepting new patients
Upland Hills Health Inc Obstetrics & Gynecology Current Accepting new patients
Healthy Women LLC PastSince Apr 1, 2013 Accepting new patients
Lafayette County Past Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc Past Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc PastSince Mar 19, 2023 Accepting new patients

Locations

211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

2955 Triverton Pike Dr
Fitchburg, WI 53711
Phone (608) 227-7007

1809 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8033

Interoperability endpoints

  • Direct secure messaging: timothy.raichle@mpmc.directbygreenway.com
  • Direct secure messaging: traichle262669@direct-ehr-ssmhc.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1407844178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 TRIVERTON PIKE DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "53711",
            "telephone_number": "608-227-7007",
            "fax_number": "608-227-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S MADISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151800",
            "telephone_number": "920-730-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAICHLE",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "42657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.