Richard Theobald, MD
NPI 1952418063 · Internal Medicine Physician · Two Rivers, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Theobald, MD is a Internal Medicine Physician provider in Two Rivers, WI (NPI 1952418063).
Provider details
- NPI number
- 1952418063
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25728 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,835 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 465 | $119 |
| Anticoagulant Management of Patient Taking Warfarin93793 | 319 | $11 |
| Blood Test, Clotting Time85610 | 239 | $4 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 220 | $121 |
| Face-To-Face Behavioral Counseling for Obesity, Group (2-10), 30 MinutesG0473 | 159 | $11 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 134 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 181 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 800 | 192 |
| Lisinopril | 693 | 167 |
| Amlodipine Besylate | 684 | 182 |
| Omeprazole | 570 | 145 |
| Rosuvastatin Calcium | 551 | 154 |
| Losartan Potassium | 548 | 130 |
| Furosemide | 515 |
Practice location
Mailing address
Additional practice locations (1)
- 601 Reed AveManitowoc, WI 54221-1270Phone: (920) 682-8841Fax: (920) 686-5250
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Frequently asked questions
- What is Richard Theobald's NPI number?
- Richard Theobald's National Provider Identifier (NPI) is 1952418063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Theobald's specialty?
- Richard Theobald is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Theobald located?
- Richard Theobald's practice location on file with NPPES is 5300 Memorial Dr, Two Rivers, WI 54241-3923.
- What is Richard Theobald's phone number?
- The practice phone number listed in the NPPES registry for Richard Theobald is (920) 793-7300.
- Does Richard Theobald accept Medicare?
- Richard Theobald is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Theobald's NPI active?
- Yes — Richard Theobald's NPI (1952418063) is active in the NPPES registry as of the last update on 2024-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.