Active NPI 1013910785 Individual Practitioner Male Practitioner

Dr. William J Dierberg , MD

Plastic Surgery • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Dr. William Dierberg, MD is a registered healthcare professional specializing in Plastic Surgery in Green Bay, WI. Practice services are available at 2605 DEVELOPMENT DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, punch biopsy, first skin growth, biopsy of single growth of skin and/or tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2605 Development Dr

Green Bay, WI 543114240

Telephone 9202888240

Associated Practice Facility / Clinic

🏢 Baycare Clinic, Llp Facility NPI 1780100180

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Green Bay, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.3 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Green Bay, WI (98 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.7% 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
99213 Established patient office or other outpatient visit, typically 15 minutes	20	12	$307.00	$77.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$251.00	$87.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$357.00	$124.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	24	$237.00	$71.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$357.00	$104.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$160.00	$43.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	33	$237.00	$71.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	20	$357.00	$104.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$160.00	$43.10
11104 Punch biopsy, first skin growth	18	18	$355.00	$115.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	31	$160.00	$40.69
99213 Established patient office or other outpatient visit, typically 15 minutes	36	27	$237.00	$67.76
11100 Biopsy of single growth of skin and/or tissue	23	19	$358.00	$95.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$357.00	$100.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	30	$237.00	$67.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	20	$157.65	$40.17
11100 Biopsy of single growth of skin and/or tissue	19	15	$358.00	$85.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$357.00	$99.39

Medical Specialties & State Licenses

CMS Verified: 2021-08-06

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License WI 31110-020

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

31812800 (WI)

Commercial Insurance / Payer ID Medical License

31110-020 (WI)

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Teresa Gonzaga , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1073776928

Doctor of Medicine (M.D.)

Alyxandria Andrus , PA-C

Physician Assistant

NPI 1073999397

Physician Assistant (Certified)

Kelsey Esser

Physician Assistant

NPI 1083454565

Dr. Karri Adamson , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1164711172

Doctor of Medicine (M.D.)

Amber Cernat , PA-C

Physician Assistant

NPI 1174298475

Physician Assistant (Certified)

Grace Woods

Physician Assistant

NPI 1184504078

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 06, 2021

Registered at 2605 DEVELOPMENT DR, GREEN BAY, WI 543114240 (Tel: 9202888240)

📍

Updated Business Mailing Address August 06, 2021

Registered at 2073 WINTERGREEN CT, GREEN BAY, WI 543041946 (Tel: 9203669814)

✅

NPI Profile Active October 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2010

Registered at 704 S WEBSTER AVE, STE 401, GREEN BAY, WI 543013531 (Tel: 9204327000)

📍

Updated Business Mailing Address October 29, 2010

Registered at 704 S WEBSTER AVE, SUITE 401, GREEN BAY, WI 543013531 (Tel: 9204327000)

👤

Provider Name / Credentials Updated October 29, 2010

Recorded as WILLIAM DIERBERG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2010

Plastic Surgery (License #31110-020 in WI)

🟢

Initial NPI Registration & Enumeration May 24, 2005

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: 1013910785

Entity Type:

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

Enumeration Date: May 24, 2005

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2073 Wintergreen Ct

Green Bay, WI 543041946

Phone: 9203669814

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.