Active NPI 1083646608 Individual Practitioner Male Practitioner

Dr. Stephen R Dernlan , MD

Internal Medicine • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Dernlan, MD is a registered healthcare professional specializing in Internal Medicine in Appleton, WI. Practice services are available at 3916 N INTERTECH CT under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, basic group of blood chemicals (calcium, total). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3916 N Intertech Ct

Appleton, WI 54913

Telephone 9209961000

Fax 9209978302

Associated Practice Facility / Clinic

🏢 Primary Care Associates Of Appleton, Ltd Facility NPI 1659305654

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Appleton, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

41 Specialists

Practicing in Appleton, WI (2181 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	224	124	$18.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	95	$372.00	$121.09
80048 Blood test, basic group of blood chemicals (calcium, total)	109	90	$65.00	$8.29
99213 Established patient office or other outpatient visit, typically 15 minutes	86	72	$248.00	$85.35
80061 Blood test, lipids (cholesterol and triglycerides)	85	82	$103.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$173.00	$121.80
83036 Hemoglobin A1C level	50	46	$73.00	$9.52
84443 Blood test, thyroid stimulating hormone (TSH)	46	40	$122.00	$16.46
84460 Liver enzyme (sgpt), level	40	40	$64.00	$5.19
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$133.00	$18.92
81001 Manual urinalysis test with examination using microscope, automated	27	17	$22.00	$3.11
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	23	23	$47.00	$6.34
77067 Screening mammography	22	22	$491.00	$87.18
77063 Screening digital tomography of both breasts	22	22	$62.00	$22.72
82570 Creatinine level to test for kidney function or muscle injury	20	20	$40.00	$5.08
82043 Urine microalbumin (protein) level	20	20	$44.00	$5.66
82947 Blood glucose (sugar) level	17	16	$22.00	$3.85
71046 X-ray of chest, 2 views	14	13	$174.00	$22.19
84439 Thyroxine (thyroid chemical), free	13	13	$73.00	$8.84
84481 Thyroid hormone, t3 measurement, free	13	13	$131.00	$16.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	631	216	$17.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	183	$348.00	$121.92
80048 Blood test, basic group of blood chemicals (calcium, total)	279	180	$61.00	$8.32
85610 Blood test, clotting time	231	16	$46.00	$4.23
80061 Blood test, lipids (cholesterol and triglycerides)	225	186	$96.00	$13.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	166	166	$162.00	$124.58
99213 Established patient office or other outpatient visit, typically 15 minutes	145	96	$232.00	$85.76
83036 Hemoglobin A1C level	130	79	$68.00	$9.59
84443 Blood test, thyroid stimulating hormone (TSH)	107	73	$114.00	$16.57
84460 Liver enzyme (sgpt), level	96	87	$60.00	$5.19
G0103 Prostate cancer screening; prostate specific antigen test (psa)	77	77	$124.00	$19.04
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	64	45	$44.00	$6.39
G0008 Administration of influenza virus vaccine	59	59	$50.00	$27.98
90662 Influenza vaccine split virus, preservative free	55	55	$91.00	$68.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	35	$53.00	$7.66
82570 Creatinine level to test for kidney function or muscle injury	51	50	$37.00	$5.12
82043 Urine microalbumin (protein) level	47	47	$41.00	$5.71
77063 Screening digital tomography of both breasts	42	42	$58.00	$22.56
77067 Screening mammography	42	42	$459.00	$88.72
82947 Blood glucose (sugar) level	38	38	$21.00	$3.89
80076 Liver function blood test panel	36	29	$64.00	$8.05
81001 Manual urinalysis test with examination using microscope, automated	28	17	$21.00	$3.14
84439 Thyroxine (thyroid chemical), free	24	17	$68.00	$8.87
85018 Blood count, hemoglobin	22	13	$48.00	$2.34
84481 Thyroid hormone, t3 measurement, free	22	16	$122.00	$16.65
84153 Psa (prostate specific antigen) measurement, total	22	19	$124.00	$18.16
82728 Ferritin (blood protein) level	22	14	$88.00	$13.43
85014 Red blood cell concentration measurement	22	13	$48.00	$2.34
93000 Routine ekg using at least 12 leads including interpretation and report	21	19	$92.00	$13.48
71046 X-ray of chest, 2 views	20	17	$163.00	$22.05
82306 Vitamin d-3 level	18	17	$161.00	$29.30
81003 Automated urinalysis test	17	16	$21.00	$2.13
84550 Uric acid level, blood	17	15	$60.00	$4.47
69209 Removal of impacted ear wax by washing	15	12	$84.87	$15.73
82607 Cyanocobalamin (vitamin B-12) level	13	13	$86.00	$14.90
G0009 Administration of pneumococcal vaccine	13	13	$50.00	$28.10
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$200.67	$26.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$223.00	$159.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	708	249	$16.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	210	$331.00	$123.32
80048 Blood test, basic group of blood chemicals (calcium, total)	300	199	$58.01	$8.44
85610 Blood test, clotting time	263	19	$44.00	$4.29
80061 Blood test, lipids (cholesterol and triglycerides)	251	193	$91.00	$13.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	178	178	$154.00	$126.84
99213 Established patient office or other outpatient visit, typically 15 minutes	148	114	$221.00	$86.64
83036 Hemoglobin A1C level	135	85	$65.00	$9.66
84460 Liver enzyme (sgpt), level	119	104	$57.00	$5.28
84443 Blood test, thyroid stimulating hormone (TSH)	115	93	$109.00	$16.80
G0103 Prostate cancer screening; prostate specific antigen test (psa)	80	80	$118.00	$19.21
G0008 Administration of influenza virus vaccine	78	78	$48.00	$16.22
90662 Influenza vaccine split virus, preservative free	74	74	$87.00	$65.14
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	66	54	$42.00	$6.47
82570 Creatinine level to test for kidney function or muscle injury	56	55	$35.00	$5.15
82043 Urine microalbumin (protein) level	53	53	$39.00	$5.74
82947 Blood glucose (sugar) level	49	47	$20.00	$3.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	32	$50.00	$7.77
77067 Screening mammography	44	44	$437.00	$90.82
77063 Screening digital tomography of both breasts	44	44	$55.00	$23.99
81001 Manual urinalysis test with examination using microscope, automated	35	30	$20.00	$3.17
80076 Liver function blood test panel	34	27	$61.00	$8.17
84153 Psa (prostate specific antigen) measurement, total	33	24	$118.00	$18.39
0012A Adm sarscov2 100mcg/0.5ml2nd	32	32	$48.00	$34.95
0011A Adm sarscov2 100mcg/0.5ml1st	31	30	$48.00	$30.37
84550 Uric acid level, blood	20	15	$57.00	$4.52
77080 Dxa bone density measurement of hip, pelvis, spine	19	19	$257.26	$35.95
85014 Red blood cell concentration measurement	19	11	$46.00	$2.37
69209 Removal of impacted ear wax by washing	18	16	$67.56	$14.64
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$88.00	$14.03
82607 Cyanocobalamin (vitamin B-12) level	17	17	$82.00	$15.08
82728 Ferritin (blood protein) level	17	12	$84.00	$13.63
82306 Vitamin d-3 level	16	13	$153.00	$29.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$161.00	$53.87
71046 X-ray of chest, 2 views	15	14	$155.00	$21.80
0013A Adm sarscov2 100mcg/0.5ml3rd	14	14	$48.00	$38.16
84481 Thyroid hormone, t3 measurement, free	14	13	$116.00	$16.94
84439 Thyroxine (thyroid chemical), free	14	14	$65.00	$9.02
81003 Automated urinalysis test	14	13	$20.00	$2.25
0003A Adm sarscov2 30mcg/0.3ml 3rd	14	13	$48.00	$38.16
85652 Red blood cell sedimentation rate, to detect inflammation, automated	13	13	$46.00	$2.70
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$82.00	$82.00
G0009 Administration of pneumococcal vaccine	12	12	$48.00	$16.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$219.00	$161.30
82565 Blood creatinine level	12	11	$59.00	$5.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	859	267	$15.00	$2.98
80048 Blood test, basic group of blood chemicals (calcium, total)	372	220	$55.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	226	$315.00	$104.31
85610 Blood test, clotting time	317	22	$42.00	$4.26
80061 Blood test, lipids (cholesterol and triglycerides)	283	217	$87.00	$13.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$147.00	$111.61
99213 Established patient office or other outpatient visit, typically 15 minutes	173	122	$210.00	$72.05
83036 Hemoglobin A1C level	158	101	$62.00	$9.62
84443 Blood test, thyroid stimulating hormone (TSH)	140	102	$104.00	$16.64
84460 Liver enzyme (sgpt), level	122	109	$54.00	$5.26
G0008 Administration of influenza virus vaccine	101	100	$46.00	$16.24
90662 Influenza vaccine split virus, preservative free	98	97	$83.00	$60.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	90	90	$112.00	$19.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	83	62	$48.00	$7.69
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	65	50	$41.69	$6.43
82947 Blood glucose (sugar) level	63	58	$19.00	$3.89
82570 Creatinine level to test for kidney function or muscle injury	63	58	$33.00	$5.15
82043 Urine microalbumin (protein) level	59	56	$37.00	$5.74
80076 Liver function blood test panel	52	45	$58.00	$7.96
77063 Screening digital tomography of both breasts	49	49	$52.00	$23.84
77067 Screening mammography	49	49	$416.00	$94.14
81001 Manual urinalysis test with examination using microscope, automated	48	39	$19.00	$3.13
71046 X-ray of chest, 2 views	27	24	$148.00	$20.60
69209 Removal of impacted ear wax by washing	25	24	$104.92	$18.28
G0009 Administration of pneumococcal vaccine	23	23	$46.00	$16.21
82565 Blood creatinine level	23	17	$56.00	$5.10
84153 Psa (prostate specific antigen) measurement, total	23	20	$112.00	$18.33
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$84.00	$16.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$78.00	$77.86
81003 Automated urinalysis test	18	17	$19.56	$2.24
82607 Cyanocobalamin (vitamin B-12) level	17	16	$78.00	$15.04
84550 Uric acid level, blood	17	16	$54.00	$4.51
84481 Thyroid hormone, t3 measurement, free	16	14	$110.00	$16.81
84439 Thyroxine (thyroid chemical), free	16	14	$62.00	$8.95
83690 Lipase (fat enzyme) level	15	12	$89.00	$6.04
85652 Red blood cell sedimentation rate, to detect inflammation, automated	13	13	$44.00	$2.61
82306 Vitamin d-3 level	12	12	$146.00	$29.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	897	286	$14.00	$2.94
85610 Blood test, clotting time	392	27	$40.00	$4.28
80048 Blood test, basic group of blood chemicals (calcium, total)	368	226	$53.24	$9.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	211	$303.00	$104.29
80061 Blood test, lipids (cholesterol and triglycerides)	299	216	$84.00	$14.54
99213 Established patient office or other outpatient visit, typically 15 minutes	280	173	$202.00	$71.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$141.00	$110.98
83036 Hemoglobin A1C level	169	98	$60.00	$10.57
84443 Blood test, thyroid stimulating hormone (TSH)	143	106	$105.18	$18.30
84460 Liver enzyme (sgpt), level	134	110	$52.00	$5.74
G0008 Administration of influenza virus vaccine	101	101	$44.00	$15.92
90662 Influenza vaccine split virus, preservative free	101	100	$80.00	$54.79
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	93	70	$48.71	$8.46
81001 Manual urinalysis test with examination using microscope, automated	82	57	$18.00	$3.45
G0103 Prostate cancer screening; prostate specific antigen test (psa)	80	80	$123.65	$20.03
82947 Blood glucose (sugar) level	68	64	$18.00	$4.28
82570 Creatinine level to test for kidney function or muscle injury	68	65	$32.00	$5.63
82043 Urine microalbumin (protein) level	64	63	$36.00	$6.29
77067 Screening mammography	59	59	$400.00	$93.07
77063 Screening digital tomography of both breasts	57	57	$50.00	$23.66
71046 X-ray of chest, 2 views	52	43	$142.00	$19.53
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	51	40	$60.00	$7.04
80076 Liver function blood test panel	46	38	$56.00	$8.90
84153 Psa (prostate specific antigen) measurement, total	25	22	$107.04	$20.03
G0009 Administration of pneumococcal vaccine	24	24	$44.00	$15.92
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$81.00	$16.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$147.00	$43.23
84450 Liver enzyme (sgot), level	17	11	$52.00	$5.63
84550 Uric acid level, blood	17	16	$52.00	$4.92
82306 Vitamin d-3 level	16	13	$140.00	$32.23
82565 Blood creatinine level	15	11	$54.00	$5.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$75.00	$73.50
84439 Thyroxine (thyroid chemical), free	15	11	$60.00	$9.82
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$238.00	$38.06
69209 Removal of impacted ear wax by washing	14	13	$75.86	$15.28
81003 Automated urinalysis test	14	14	$27.29	$2.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$201.00	$163.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,114	306	$14.00	$2.94
85610 Blood test, clotting time	531	35	$47.00	$4.75
80048 Blood test, basic group of blood chemicals (calcium, total)	416	248	$88.00	$10.21
80061 Blood test, lipids (cholesterol and triglycerides)	339	240	$153.00	$16.16
99213 Established patient office or other outpatient visit, typically 15 minutes	319	200	$198.00	$69.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	206	$297.00	$103.21
83036 Hemoglobin A1C level	194	112	$112.00	$11.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	189	189	$138.00	$111.88
84460 Liver enzyme (sgpt), level	167	128	$51.00	$6.41
84443 Blood test, thyroid stimulating hormone (TSH)	144	95	$154.00	$20.33
G0008 Administration of influenza virus vaccine	110	110	$43.00	$19.63
90662 Influenza vaccine split virus, preservative free	104	104	$78.00	$52.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	98	69	$84.00	$9.40
G0103 Prostate cancer screening; prostate specific antigen test (psa)	91	91	$187.12	$22.26
82947 Blood glucose (sugar) level	74	59	$52.00	$4.75
82570 Creatinine level to test for kidney function or muscle injury	69	65	$64.00	$6.26
77067 Screening mammography	69	69	$364.00	$94.99
77063 Screening digital tomography of both breasts	67	67	$30.00	$23.97
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	65	43	$82.00	$7.82
82043 Urine microalbumin (protein) level	63	63	$122.00	$7.00
81001 Manual urinalysis test with examination using microscope, automated	60	36	$51.00	$3.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	48	$144.00	$42.07
71046 X-ray of chest, 2 views	56	42	$139.00	$18.49
80076 Liver function blood test panel	50	40	$162.00	$9.89
93000 Routine ekg using at least 12 leads including interpretation and report	33	30	$79.00	$16.11
82565 Blood creatinine level	30	12	$53.00	$6.20
84450 Liver enzyme (sgot), level	29	13	$51.00	$6.26
84153 Psa (prostate specific antigen) measurement, total	29	21	$180.00	$22.26
G0009 Administration of pneumococcal vaccine	27	27	$43.00	$19.63
81003 Automated urinalysis test	25	23	$27.00	$2.71
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	24	24	$85.00	$45.42
82306 Vitamin d-3 level	21	17	$266.00	$35.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$197.00	$164.67
84550 Uric acid level, blood	18	18	$51.00	$5.47
69209 Removal of impacted ear wax by washing	18	17	$70.89	$14.88
83735 Magnesium level	17	11	$53.00	$8.10
90670 Pneumococcal vaccine for injection into muscle	16	16	$201.00	$195.96
85007 Microscopic examination for white blood cells with manual cell count	16	11	$54.00	$4.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$190.00	$159.82
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$233.00	$40.05
73030 X-ray of shoulder, minimum of 2 views	14	13	$154.00	$18.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$74.00	$72.52
82607 Cyanocobalamin (vitamin B-12) level	11	11	$157.00	$18.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,495	13	$1.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	1,172	321	$13.00	$2.94
85610 Blood test, clotting time	574	45	$45.00	$5.28
80048 Blood test, basic group of blood chemicals (calcium, total)	426	255	$85.00	$8.12
99213 Established patient office or other outpatient visit, typically 15 minutes	409	239	$190.00	$69.80
80061 Blood test, lipids (cholesterol and triglycerides)	369	264	$147.00	$13.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	163	$286.00	$102.79
83036 Hemoglobin A1C level	211	119	$108.00	$13.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$133.00	$110.85
84460 Liver enzyme (sgpt), level	172	134	$49.00	$3.84
84443 Blood test, thyroid stimulating hormone (TSH)	148	97	$148.00	$22.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	143	106	$99.00	$8.19
G0008 Administration of influenza virus vaccine	123	121	$41.00	$24.29
90662 Influenza vaccine split virus, preservative free	118	116	$75.00	$47.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	107	79	$81.00	$10.45
G0103 Prostate cancer screening; prostate specific antigen test (psa)	94	94	$180.49	$24.73
82570 Creatinine level to test for kidney function or muscle injury	90	85	$62.00	$6.90
81001 Manual urinalysis test with examination using microscope, automated	88	54	$48.64	$4.26
82043 Urine microalbumin (protein) level	85	84	$117.00	$7.70
82947 Blood glucose (sugar) level	79	64	$50.00	$4.27
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	61	31	$79.00	$8.69
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	58	58	$350.00	$93.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	44	$138.00	$41.75
71020 X-ray of chest, 2 views, front and side	51	42	$134.00	$16.07
77063 Screening digital tomography of both breasts	49	49	$30.00	$23.87
80076 Liver function blood test panel	47	40	$156.00	$9.64
82565 Blood creatinine level	38	21	$51.00	$3.88
84153 Psa (prostate specific antigen) measurement, total	37	25	$173.00	$24.73
84450 Liver enzyme (sgot), level	37	24	$49.00	$3.16
G0009 Administration of pneumococcal vaccine	33	33	$41.00	$24.29
84132 Blood potassium level	32	14	$49.00	$3.67
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	31	31	$124.29	$19.18
85007 Microscopic examination for white blood cells with manual cell count	28	13	$52.00	$4.62
82306 Vitamin d-3 level	27	23	$256.00	$39.80
83735 Magnesium level	24	13	$51.00	$9.01
81003 Automated urinalysis test	23	21	$26.00	$3.02
84550 Uric acid level, blood	20	18	$49.00	$3.99
90670 Pneumococcal vaccine for injection into muscle	18	18	$193.00	$183.12
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$224.00	$38.96
69209 Removal of impacted ear wax by washing	17	12	$82.35	$14.87
82728 Ferritin (blood protein) level	17	13	$137.00	$18.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$189.00	$163.87
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$71.00	$69.58
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$76.00	$16.19
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$183.00	$159.16
83970 Parathormone (parathyroid hormone) level	12	11	$274.00	$55.49
82607 Cyanocobalamin (vitamin B-12) level	11	11	$151.00	$20.27

Medical Specialties & State Licenses

CMS Verified: 2023-06-01

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 30115-020

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

31480500 (WI)

Commercial Insurance / Payer ID Rr Medicare

P00062904

Practice Associates & Co-Workers

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

34 Associated Practitioners

Rachel Rockweiler , PA-C

Physician Assistant

NPI 1003328386

Physician Assistant (Certified)

Dr. Michael Van Abel , DO

Family Medicine

NPI 1003445735

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephen Fuller , MD

Family Medicine

NPI 1003802638

Doctor of Medicine (M.D.)

Dr. Samuel Heiks , MD

Family Medicine

NPI 1013176312

Doctor of Medicine (M.D.)

Dr. Edward Szabo , MD

Family Medicine

NPI 1093700403

Doctor of Medicine (M.D.)

Dr. Robert Fox , MD

Family Medicine

NPI 1144215773

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2014

Registered at 3916 N INTERTECH CT, APPLETON, WI 54913 (Tel: 9209961000)

📍

Updated Business Mailing Address January 28, 2014

Registered at 3916 N INTERTECH CT, APPLETON, WI 54913 (Tel: 9209961000)

👤

Provider Name / Credentials Updated January 28, 2014

Recorded as STEPHEN DERNLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2014

Internal Medicine (License #30115-020 in WI)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1083646608

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: June 01, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3916 N Intertech Ct

Appleton, WI 54913

Phone: 9209961000

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.