MR. RICHARD KEVIN MCNUTT (MD) – Surgery Physician, NPI 1215014279
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
848 GENERAL SURGERY in WI
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Provider Addresses for MR. RICHARD KEVIN MCNUTT (MD)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543073508
Phone: (920) 965-7411
Fax: (920) 965-7412
Type: Mailing
900, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54301, United States
GREEN BAY, WI 543013508
Phone: (920) 965-7411
Fax: (920) 965-7412
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040126000469 | I | General Surgery | WI | 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 |
|---|---|---|---|---|
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 219 | 53 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 214 | 85 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 195 | 97 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 95 | 48 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 58 | 49 | $0 |
Insurance plans in this area (ZIP 54307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Peripheral Vascular Disease, Family Practice | WI | |
| General Surgery | WI | |
| Family Practice, Peripheral Vascular Disease | MI | |
| Obstetrics/Gynecology, Family Practice | MN | |
| General Surgery | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI |
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