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Active NPI 1104334713 Individual Practitioner Female Practitioner

Sara I Vanderburgh , PA-C

Physician Assistant • Greenfield, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sara Vanderburgh, PA-C is a certified Physician Assistant practicing in Greenfield, WI. With approximately 9 years of clinical experience since completing medical education in 2017, Sara Vanderburgh delivers high-quality medical care to the local community at 6901 W EDGERTON AVE.

Sara Vanderburgh is affiliated with Lakeshore Medical Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6901 W Edgerton Ave

Greenfield, WI 532204420

Telephone 4143255244
Fax 4144213772
Associated Practice Facility / Clinic
🏢 Aurora Quick Care, Llc Facility NPI 1609820729

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Greenfield, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Greenfield, WI (3517 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanderburgh (9 Years) 9 Yrs
Greenfield Specialty Average (11.3 Years) 11.3 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $490.00 $102.51
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $330.00 $72.41

Medical Specialties & State Licenses

CMS Verified: 2024-02-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 4231

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100075414 (WI)

Hospital & Practice Group Affiliations

Lakeshore Medical Clinic Llc

2000 E Layton Ave, Saint Francis, WI 532356053

Phone: 4147446589

Practice Associates & Co-Workers

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

34 Associated Practitioners
NPI 1003278268

MBBCHBAO

Lauren Stieber , APNP

Nurse Practitioner

NPI 1003334194

Advanced Practice Nurse Prescriber

NPI 1023654662

Advanced Practice Nurse Prescriber

NPI 1033503958

Doctor of Medicine (M.D.)

Melissa Lynch , PA-C

Physician Assistant

NPI 1043268600

Physician Assistant (Certified)

Ana Sanchez , FNP-BC

Nurse Practitioner

NPI 1053869305

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address February 27, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location March 18, 2019

Registered at 6901 W EDGERTON AVE, GREENFIELD, WI 532204420 (Tel: 4143255244)

📍
Updated Business Mailing Address March 18, 2019

Registered at 6901 W EDGERTON AVE, GREENFIELD, WI 532204420 (Tel: 4143255244)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2019

Physician Assistant (License #4231 in WI)

NPI Profile Active January 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2018

Registered at 10500 W LOOMIS RD STE 130, FRANKLIN, WI 531328030 (Tel: 4144881111)

📍
Updated Business Mailing Address January 17, 2018

Registered at 1817 OAK ST, SOUTH MILWAUKEE, WI 531721457 (Tel: 4147316472)

👤
Provider Name / Credentials Updated January 17, 2018

Recorded as SARA VANDERBURGH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2018

Physician Assistant (License #1141164 in WI)

🟢
Initial NPI Registration & Enumeration January 17, 2018

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: 1104334713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2018
Last Update: February 27, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.