RICHARD L HARRISON (MD) – Neurological Surgery Physician, NPI 1912935115
Neurological Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
156 NEUROSURGERY in WI
Provider Addresses for RICHARD L HARRISON (MD)
2845 GREENBRIER RD STE 330
GREEN BAY, WI 543116519
Phone: (920) 288-8350
Fax: (920) 288-8355
Type: Location
2845 GREENBRIER RD
GREEN BAY, WI 543116519
Phone: (920) 288-8350
Fax: (920) 288-8355
Type: Location
1035 KEPLER DR
GREEN BAY, WI 543118320
Phone: (920) 490-9046
Fax: (920) 405-8005
Type: Mailing
Green Bay Trail, Green Bay Park, Myrtle Beach, Horry County, South Carolina, United States
GREEN BAY, WI 543032728
Phone: (920) 490-9046
Fax: (920) 405-5388
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($62).
Total Amount
$82
General + Research + Ownership
Payments
2
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Providence Medical Technology, Inc. | $62 |
| Orthofix Medical, Inc. | $20 |
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: 2010-11-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (925 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20041113000215 | I | Neurosurgery | WI | 2023-11-30 |
| I20101123001017 | I | Neurosurgery | MI | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 22 | 22 | $0 |
| 61783 | Computer-assisted spinal procedure | 12 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 54311)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROSURGERY | WI | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 33 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | WI | |
| O P T O M E T R Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Emergency Medicine | WI | |
| Plastic And Reconstructive Surgery | WI | |
| Physician Assistant | WI | |
| O P H T H A L M O L O G Y | WI | |
| Diagnostic Radiology | WI |
Reviews
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