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Active NPI 1912975012 Individual Practitioner Male Practitioner

Dr. Robert Niebergall , MD

Internal Medicine • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Dr. Robert Niebergall, MD is a registered healthcare professional specializing in Internal Medicine in Broken Arrow, OK. Practice services are available at 800 W BOISE CIR STE 160 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 W Boise Cir Ste 160

Broken Arrow, OK 740124932

Telephone 9189949160
Fax 9184036306

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Broken Arrow, OK (1179 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
477 225 $222.00 $77.47
83036 Hemoglobin A1C level
141 78 $31.00 $9.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
93 93 $240.13 $46.05
G0444 Annual depression screening, 5 to 15 minutes
33 33 $38.00 $17.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
29 24 $150.00 $45.99
G0008 Administration of influenza virus vaccine
25 21 $70.00 $30.07
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
23 23 $35.00 $14.88
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
22 12 $114.00 $38.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 18 $298.00 $112.79

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 13607

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100014070A (OK)
Commercial Insurance / Payer ID Medicare Group Pin
800522535 (OK)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Nicole Mathes , MD

Family Medicine

NPI 1023302007

Doctor of Medicine (M.D.)

Dr. Robert Wright , DO

Family Medicine

NPI 1083646541

Doctor of Osteopathic Medicine (D.O.)

Dr. Laura Bilbruck , MD

Internal Medicine

NPI 1245209113

Doctor of Medicine (M.D.)

Deborah Leblanc , PA-C

Physician Assistant

NPI 1356389936

Physician Assistant (Certified)

Jennifer Vanderford , APRN NP-C

Nurse Practitioner - Family

NPI 1356799142

APRNNPC

Corinne Onigbinde , PA-C

Physician Assistant

NPI 1396253043

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 20, 2018

Registered at 800 W BOISE CIR STE 160, BROKEN ARROW, OK 740124932 (Tel: 9189949160)

📍
Updated Business Mailing Address September 20, 2018

Registered at 800 W BOISE CIR STE 160, BROKEN ARROW, OK 740124932 (Tel: 9189949160)

NPI Profile Active February 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2011

Registered at 800 W BOISE CIR, SUITE 160, BROKEN ARROW, OK 740124906 (Tel: 9189949160)

📍
Updated Business Mailing Address February 09, 2011

Registered at 1515 N HARVARD AVE STE E, TULSA, OK 741154904 (Tel: 9188326049)

👤
Provider Name / Credentials Updated February 09, 2011

Recorded as ROBERT NIEBERGALL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2011

Internal Medicine (License #13607 in OK)

🟢
Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912975012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: September 20, 2018
Sole Proprietor: No

Mailing Address

800 W Boise Cir Ste 160

Broken Arrow, OK 740124932

Phone: 9189949160

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.