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DR. WILLIAM J DIERBERG M.D.
NPI 1013910785
Plastic Surgery in Green Bay, WI

Active since May 24, 2005PECOS Enrolled
2605 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 288-8240 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 6, 2021 (2 updates tracked since 2021).

About Dr. William J Dierberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM J DIERBERG M.D. (NPI 1013910785) is an individual plastic surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (31110-020) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013910785
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. WILLIAM J DIERBERGCredential: M.D.
Location Address2605 DEVELOPMENT DRGreen Bay, WI 54311-4240
Mailing Address2073 Wintergreen CtGreen Bay, WI 54304-1946 · (920) 366-9814
Phone(920) 288-8240
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1013910785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WI · 31110-020
Definition
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.
2605 DEVELOPMENT DR, Green Bay, WI 54311
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Other Identifiers 2

Medicaid31812800WI
Other31110-020WI · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William J Dierberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERESA A GONZAGA MD
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
ALYXANDRIA KATHRYN ANDRUS PA-C
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
KELSEY ROSE ESSER
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
KARRI ADAMSON MD
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
AMBER CERNAT PA-C
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
GRACE WOODS
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
SPENCER KLEIN
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
BAYCARE CLINIC, LLP
Plastic Surgery
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Dierberg's NPI number?

The NPI number for William Dierberg is 1013910785. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is William Dierberg located?

William Dierberg practices at 2605 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 288-8240.

What is William Dierberg's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is William Dierberg enrolled in Medicare?

Yes. William Dierberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Dierberg was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.