DR. NOAH LYNN WRIDE (M.D.) – Surgery Physician, NPI 1457766982

DR. NOAH LYNN WRIDE (M.D.) is a healthcare provider. based in Appleton, Wisconsin. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 64653 (WI). The NPI Number for DR. NOAH LYNN WRIDE (M.D.) is 1457766982

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. NOAH LYNN WRIDE (M.D.)
NPI
1457766982
Phone
(920) 738-2000
Address
1501 S Madison St
Enumeration Date
23 June 2014
Last Update Date
26 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9207382000
Graduation Year
2014 (12 years ago)
PAC ID
1153630843
Group Practice PAC ID
0244142420
Professional Enrollment ID
I20190808002981
Address ID
WI549151846AP1501XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Digital endpointsOther names

848 GENERAL SURGERY in WI

Provider Addresses for DR. NOAH LYNN WRIDE (M.D.)

  • 1501 S Madison St

    Appleton, WI 549151846

    Phone: (920) 738-2000

    Type: Location

  • 970 Medical Dr Ste 202

    Brigham City, UT 843023286

    Phone: (435) 723-0329

    Fax: (435) 723-0429

    Type: Location

  • 970 MEDICAL DR STE 202

    BRIGHAM CITY, UT 843023286

    Phone: (435) 723-0329

    Fax: (435) 723-0429

    Type: Location

  • PO BOX 405473

    ATLANTA, GA 303845473

    Phone:

    Type: Mailing

  • 1501 S MADISON ST

    APPLETON, WI 549151846

    Phone: (920) 738-2000

    Type: Location

  • 1025 MARSH ST

    MANKATO, MN 560014752

    Phone: (507) 625-4031

    Type: Location

  • PO BOX 860912

    MINNEAPOLIS, MN 554860912

    Phone: (507) 284-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,438.

Total Amount is formed as General ($1,438) + Research ($0) + Ownership ($0) = $1,438.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($956).

Total Amount

$1,438

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,438

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190808002981IGeneral SurgeryWITBD
I20260113003812IGeneral SurgeryMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3118$0
View full utilization report →

Insurance plans in this area (ZIP 54915)

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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: 0244142420View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. NOAH LYNN WRIDE (M.D.) for billing?
Administrative and clinical systems typically use NPI 1457766982 for DR. NOAH LYNN WRIDE (M.D.).
Is DR. NOAH LYNN WRIDE (M.D.)'s NPI status active today?
Active status means DR. NOAH LYNN WRIDE (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. NOAH LYNN WRIDE (M.D.) provide?
DR. NOAH LYNN WRIDE (M.D.)'s profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. NOAH LYNN WRIDE (M.D.) in Appleton, Wisconsin?
For routing, start with Appleton, Wisconsin for DR. NOAH LYNN WRIDE (M.D.), then verify phone and hours locally.
Can I export DR. NOAH LYNN WRIDE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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