Active NPI 1275736530 Individual Practitioner Female Practitioner

Dr. Gianina L Sibla , MD

Hospitalist • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gianina Sibla, MD is a certified Hospitalist practicing in Appleton, WI. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Sibla delivers high-quality medical care to the local community at 1818 N MEADE ST.

Dr. Sibla is affiliated with Thedacare, Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1818 N Meade St

Appleton, WI 549113454

Telephone 9207314101

Fax 9207357618

Associated Practice Facility / Clinic

🏢 Appleton Emergency Services S C Facility NPI 1588666853

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Appleton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +10.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Appleton, WI (896 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sibla (26 Years) 26 Yrs

Appleton Specialty Average (15.9 Years) 15.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	264	116	$253.30	$76.23
99239 Hospital discharge day management, more than 30 minutes	74	74	$376.80	$111.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	28	$137.00	$47.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	35	$364.50	$114.93
99238 Hospital discharge day management, 30 minutes or less	30	29	$256.90	$77.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$707.20	$164.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$478.40	$124.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	132	$226.00	$75.50
99239 Hospital discharge day management, more than 30 minutes	76	76	$283.09	$109.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	53	$351.63	$113.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$561.23	$165.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	21	$148.70	$46.88
99238 Hospital discharge day management, 30 minutes or less	35	35	$215.37	$77.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	26	$51.00	$7.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$438.92	$123.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	286	113	$211.00	$67.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	49	$350.25	$97.69
99239 Hospital discharge day management, more than 30 minutes	48	48	$226.00	$100.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	16	$153.00	$36.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$486.50	$189.46
99238 Hospital discharge day management, 30 minutes or less	29	29	$181.00	$68.38
99217 Hospital observation care on day of discharge	13	13	$219.00	$68.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$409.50	$127.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	63	$271.12	$66.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	55	$419.21	$93.35
99239 Hospital discharge day management, more than 30 minutes	50	48	$432.56	$97.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$658.72	$190.17
99217 Hospital observation care on day of discharge	23	23	$294.17	$65.62
99291 Critical care, first 30-74 minutes	22	13	$1860.75	$207.93
99220 Hospital observation care, typically 70 minutes	11	11	$649.84	$172.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	152	75	$315.00	$67.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	139	67	$430.00	$98.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	60	$750.00	$192.64
99239 Hospital discharge day management, more than 30 minutes	63	60	$580.00	$103.36
99217 Hospital observation care on day of discharge	30	29	$300.00	$70.27
99220 Hospital observation care, typically 70 minutes	19	19	$675.00	$179.15
99291 Critical care, first 30-74 minutes	18	15	$2220.00	$213.37
99238 Hospital discharge day management, 30 minutes or less	15	15	$455.00	$70.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	262	146	$215.02	$69.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	74	$308.74	$99.07
99239 Hospital discharge day management, more than 30 minutes	50	50	$318.78	$102.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$603.76	$193.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	25	$116.24	$37.60
99220 Hospital observation care, typically 70 minutes	36	36	$555.36	$174.17
99238 Hospital discharge day management, 30 minutes or less	25	24	$218.82	$69.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$409.45	$130.51
99217 Hospital observation care on day of discharge	14	14	$212.01	$69.93
99219 Hospital observation care, typically 50 minutes	12	11	$405.70	$130.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	411	180	$207.00	$69.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	109	55	$298.00	$95.71
99239 Hospital discharge day management, more than 30 minutes	59	57	$308.00	$103.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	32	$112.00	$37.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$578.00	$189.99
99220 Hospital observation care, typically 70 minutes	38	38	$536.00	$178.92
99291 Critical care, first 30-74 minutes	33	20	$781.00	$212.22
99238 Hospital discharge day management, 30 minutes or less	29	29	$210.00	$70.22
99219 Hospital observation care, typically 50 minutes	21	21	$391.00	$130.51
99217 Hospital observation care on day of discharge	18	17	$204.00	$70.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$391.00	$130.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	221	101	$193.00	$69.30
99239 Hospital discharge day management, more than 30 minutes	49	47	$287.00	$103.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	26	$104.00	$37.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	24	$278.00	$100.34
99217 Hospital observation care on day of discharge	23	23	$190.00	$69.99
99220 Hospital observation care, typically 70 minutes	16	16	$494.50	$179.10
99219 Hospital observation care, typically 50 minutes	16	15	$365.00	$130.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$540.00	$195.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$365.00	$131.46

Medical Specialties & State Licenses

CMS Verified: 2023-08-16

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License WI 50712

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WI 50712

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036116695

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

34941300 (WI)

Hospital & Practice Group Affiliations

Thedacare, Incorporated

1818 N Meade St, Appleton, WI 549113454

Phone: 9207357645

Secondary Practice Locations

1860 Shawano Ave

Green Bay, WI 543032667

Phone: 9204964700

855 N Westhaven Dr

Oshkosh, WI 549047668

Phone: 9203038700

130 2nd St

Neenah, WI 54956

Phone: 9208316953

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Theresa Hagman , PTA

Physical Therapy Assistant

NPI 1003001561

Physical Therapist Assistant

Hanna Sippel , PA

Physician Assistant

NPI 1003560921

Physician Assistant

David Denell , MPT LAT, C

Physical Therapist

NPI 1013904937

MPTLAT, C

Dr. Syed Ali , MD

Hospitalist

NPI 1023207586

Doctor of Medicine (M.D.)

Kimberly Romenesko , APNP

Nurse Practitioner

NPI 1023368727

Advanced Practice Nurse Prescriber

Zoua Yang , APNP

Nurse Practitioner

NPI 1033883509

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

📍

Updated Practice Location August 16, 2023

Registered at 1818 N MEADE ST, APPLETON, WI 549113454 (Tel: 9207314101)

📍

Updated Business Mailing Address August 16, 2023

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9207314101)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2023

Internal Medicine (License #50712 in WI)

📍

Updated Practice Location May 18, 2021

Registered at 1860 SHAWANO AVE, GREEN BAY, WI 543032667 (Tel: 9204964700)

📍

Updated Business Mailing Address May 18, 2021

Registered at PO BOX 19070, GREEN BAY, WI 543079070 (Tel: 9204964700)

📍

Updated Practice Location January 10, 2020

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9203038700)

📍

Updated Business Mailing Address January 10, 2020

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 9203038700)

✅

NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address November 20, 2017

Registered at 122 E COLLEGE AVE, APPLETON, WI 549115794 (Tel: 9209963264)

📍

Updated Practice Location November 20, 2017

Registered at 130 2ND ST, NEENAH, WI 54956 (Tel: 9208316953)

👤

Provider Name / Credentials Updated November 20, 2017

Recorded as GIANINA SIBLA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Internal Medicine (License #036116695 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 130 2ND ST, NEENAH, WI 54956 (Tel: 9208316953)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2632 N 75TH CT, ELMWOOD PARK, IL 60707 (Tel: 7084536272)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GIANINA SIBLA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine

🟢

Initial NPI Registration & Enumeration June 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275736530

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2007

Last Update: August 16, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9207314101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.