Richard W. Theobald, MD
NPI 1952418063ActiveIndividual· Internal Medicine· Two Rivers, WI
Internal Medicine (MD) in Two Rivers, Wisconsin, trained at University of Iowa, Rj & L Carver College of Medicine (class of 1982). Their prescriptions cost Medicare Part D more than their services did: $1,215,295 for 16,524 claims, against $99,173 paid for services in 2024.
Overview
| NPI | 1952418063 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 24, 2006 |
| Last updated in NPPES | Jun 3, 2024 |
| Certified by provider | Jun 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25728 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 483 |
|---|---|
| Services billed | 2,303 across 40 procedure codes |
| Paid by Medicare | $99,173 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16,524 · 36,663 30-day fills |
|---|---|
| Patients | 896 |
| Total drug cost | $1,215,295 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Iowa, Rj & L Carver College of Medicine |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Internal Medicine |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliations
- Aurora Baycare Medical CtrGreen Bay, WI
- Aurora Medical Center Sheboygan CountySheboygan, WI
- Aurora Medical Ctr Manitowoc CountyTwo Rivers, WI
- Holy Family MemorialManitowoc, WI
Other facilities
- Aurora at HomeHome health agency · Green Bay, WI
- Aurora at HomeHospice · Green Bay, WI
- Sharon S Richardson Community HospiceHospice · Sheboygan Falls, WI
- Complete Care at Manitowoc LLCNursing home · Manitowoc, WI
- Shady Lane Nursing Care CenterNursing home · Manitowoc, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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