JEFFREY WILLIAM RICKARD (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1124229521
Emergency Medical Services (Emergency Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,309 EMERGENCY MEDICINE in WI
Provider Addresses for JEFFREY WILLIAM RICKARD (DO)
1700 W Stout St
Rice Lake, WI 548685000
Phone: (715) 387-5511
Type: Location
Good Samaritan Medical Center, 200, Exempla Circle, Lafayette, Boulder County, Colorado, 80026, United States
LAFAYETTE, CO 800263370
Phone: (303) 689-4444
Type: Location
Emergency Dept Patients, East Harvard Avenue, Rosedale, Denver, Denver County, Colorado, 80113-1525, United States
DENVER, CO 802560001
Phone: (866) 898-7136
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080827000587 | I | Emergency Medicine | CO | TBD |
| I20231019001226 | I | Emergency Medicine | WI | TBD |
| I20240416002277 | I | Emergency Medicine | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 18 | 18 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 54868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | NC | |
| - | CO | |
| Emergency Medicine | NM | |
| Emergency Medicine | HI |
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