RICHARD E LONG (MD) – Internal Medicine Physician, NPI 1215933122

RICHARD E LONG (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 63014 (MN). The NPI Number for RICHARD E LONG (MD) is 1215933122

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD E LONG (MD)
NPI
1215933122
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
24 June 2005
Last Update Date
6 November 2017

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6087827300
Graduation Year
1984 (42 years ago)
PAC ID
4587745880
Group Practice PAC ID
9638082779
Professional Enrollment ID
I20080111000736
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for RICHARD E LONG (MD)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Mailing address matches the actual address.

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: 2008-01-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080111000736IFamily PracticeWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54601)

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Provider's Procedures

RICHARD E LONG (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI85610Blood test, clotting time19826

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638082779View full group profile

Reviews

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Frequently asked questions

What identifier follows RICHARD E LONG (MD) across health systems?
The NPI 1215933122 uniquely identifies RICHARD E LONG (MD) in U.S. healthcare data.
Quick check: is RICHARD E LONG (MD) active?
Public NPPES data shows RICHARD E LONG (MD) with an active NPI status right now.
Which specialty label fits RICHARD E LONG (MD)?
NPPES ties RICHARD E LONG (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is RICHARD E LONG (MD) tied to La Crosse, Wisconsin?
If you are local to La Crosse, Wisconsin, RICHARD E LONG (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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