Active NPI 1871675264 Individual Practitioner Male Practitioner

Dr. Brandon John Rebholz , MD

Orthopaedic Surgery • Appleton, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Brandon Rebholz, MD is a certified Orthopaedic Surgery practicing in Appleton, WI. With approximately 20 years of clinical experience since graduating from Medical College Of Wisconsin in 2006, Dr. Rebholz delivers high-quality medical care to the local community at 5320 W MICHAELS DR.

Dr. Rebholz is affiliated with Neurospine Center Of Wisconsin, S.C. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5320 W Michaels Dr

Appleton, WI 549138446

Telephone 9208828200

Fax 9208828210

Associated Practice Facility / Clinic

🏢 Thedacare Regional Medical Center-Neenah, Inc. Facility NPI 1780733840

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Appleton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -5.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

32 Specialists

Practicing in Appleton, WI (688 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

93.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rebholz (20 Years) 20 Yrs

Appleton Specialty Average (25.0 Years) 25.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$652.80	$156.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$390.80	$118.11
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$462.00	$48.99
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	11	$5532.04	$179.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$366.00	$90.23
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$13645.08	$772.09

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	110	89	$355.00	$119.90
22614 Fusion of additional segment of spine	63	17	$6539.00	$338.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$355.00	$91.07
63048 Partial removal of spine bone with release of spinal cord and/or nerves	37	18	$6258.00	$182.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$580.00	$156.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$580.00	$125.02
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$15348.00	$584.23
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$241.00	$85.36
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$18456.00	$661.21
22612 Fusion of spine in lower back	11	11	$20957.00	$1411.74

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	130	107	$345.00	$122.38
22614 Fusion of additional segment of spine	124	29	$6349.00	$343.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	60	$345.00	$93.83
63048 Partial removal of spine bone with release of spinal cord and/or nerves	55	23	$6076.00	$185.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$563.00	$159.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$563.00	$128.08
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	15	$3760.00	$223.42
22612 Fusion of spine in lower back	21	21	$20347.00	$1329.49
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$17918.00	$671.20
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$234.00	$86.92
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$460.00	$93.97
61783 Computer-assisted spinal procedure	15	14	$3844.00	$202.36
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$14901.00	$562.95
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$15377.00	$670.88
22600 Fusion of spine in neck by posterior approach	11	11	$20890.00	$1000.09

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	89	71	$335.00	$123.67
63048 Partial removal of spine bone with release of spinal cord and/or nerves	63	23	$5899.00	$189.23
22614 Fusion of additional segment of spine	62	19	$6164.00	$350.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$335.00	$95.92
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$227.00	$87.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$547.00	$156.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$547.00	$130.25
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$227.00	$64.83
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$14647.84	$755.47
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	11	$3650.00	$231.56
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$447.00	$95.25
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$17396.00	$684.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	76	29	$5727.00	$195.53
22614 Fusion of additional segment of spine	76	21	$5984.00	$362.96
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$220.00	$72.90
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	21	$3544.00	$221.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$325.00	$106.03
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$220.00	$49.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$169.00	$43.98
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$14163.05	$662.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$373.00	$73.74
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	18	$16889.00	$707.47
22612 Fusion of spine in lower back	15	15	$19179.00	$1389.92
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	13	$18599.00	$1693.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$169.00	$24.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$325.00	$77.18
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$434.00	$98.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$373.00	$99.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	79	26	$5546.84	$195.06
99213 Established patient office or other outpatient visit, typically 15 minutes	71	59	$213.86	$71.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$514.91	$158.65
22614 Fusion of additional segment of spine	43	18	$5810.00	$361.17
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$214.00	$49.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$316.00	$76.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$326.92	$104.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$516.00	$124.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$164.00	$43.63
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	14	$3441.00	$235.03
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$13724.10	$681.66
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$16397.00	$705.72
22612 Fusion of spine in lower back	13	13	$18906.46	$1499.14
61783 Computer-assisted spinal procedure	12	12	$3517.00	$211.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	67	$204.00	$68.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$492.00	$155.04
63048 Partial removal of spine bone with release of spinal cord and/or nerves	66	23	$4889.55	$192.31
22614 Fusion of additional segment of spine	59	15	$4378.86	$356.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	38	$156.00	$41.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	43	$301.00	$103.18
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$204.00	$46.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	40	$301.00	$75.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$492.00	$123.07
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$12234.37	$662.85
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$9616.00	$695.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$156.00	$23.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	60	$194.00	$68.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	32	$149.00	$41.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$478.98	$122.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$287.00	$101.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$287.00	$73.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$476.85	$154.67
63048 Partial removal of spine bone with release of spinal cord and/or nerves	38	15	$4479.00	$195.87
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$194.00	$47.36
22614 Fusion of additional segment of spine	30	11	$3752.00	$363.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$149.00	$24.37
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$382.00	$96.53
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$5239.00	$708.69
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$11326.00	$697.80

Medical Specialties & State Licenses

CMS Verified: 2025-02-05

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 51083-20

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100024317 (WI)

Hospital & Practice Group Affiliations

Neurospine Center Of Wisconsin, S.c.

5320 W Michaels Dr, Appleton, WI 549138446

Phone: 9208828200

Practice Associates & Co-Workers

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

33 Associated Practitioners

Jami Hellmer , NP

Nurse Practitioner

NPI 1023510377

Nurse Practitioner

Keri Volinkaty , CSFA

Specialist/Technologist, Other - Surgical Technologist

NPI 1023591302

Dr. Randall Schultz , MD

Physical Medicine & Rehabilitation

NPI 1093707119

Doctor of Medicine (M.D.)

Cindy Hillesheim , PT

Physical Therapist

NPI 1194717314

Physical Therapist

Dr. Benjamin Abadeer , DO

Surgery

NPI 1255541603

Doctor of Osteopathic Medicine (D.O.)

Dr. David Dewitt , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1265424485

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 05, 2025

Registered at 5320 W MICHAELS DR, APPLETON, WI 549138446 (Tel: 9208828200)

📍

Updated Business Mailing Address February 05, 2025

Registered at 5320 W MICHAELS DR, APPLETON, WI 549138446 (Tel: 9208828200)

✅

NPI Profile Active July 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2015

Registered at 9200 W WISCONSIN AVE, ORTHOPAEDIC SURGERY, MILWAUKEE, WI 532263522 (Tel: 4148057410)

📍

Updated Business Mailing Address July 31, 2015

Registered at 9200 W WISCONSIN AVE, ORTHOPAEDIC SURGERY, MILWAUKEE, WI 532263522 (Tel: 4148057410)

👤

Provider Name / Credentials Updated July 31, 2015

Recorded as BRANDON REBHOLZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2015

Orthopaedic Surgery (License #51083-20 in WI)

🟢

Initial NPI Registration & Enumeration October 19, 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: 1871675264

Entity Type:

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

Enumeration Date: October 19, 2006

Last Update: February 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5320 W Michaels Dr

Appleton, WI 549138446

Phone: 9208828200

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.