STEPHEN R DERNLAN MD
NPI 1083646608
Internal Medicine in Appleton, WI

Q: What is Stephen Dernlan's NPI number?

The NPI number for Stephen Dernlan is 1083646608. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Stephen Dernlan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Dernlan was last updated on June 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2006PECOS Enrolled

3916 N INTERTECH CT, APPLETON, WI 54913(920) 996-1000(920) 997-8302 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Stephen R Dernlan Md NPPES

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

STEPHEN R DERNLAN MD (NPI 1083646608) is an individual internal medicine provider in Appleton, Wisconsin, licensed in Wisconsin (30115-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083646608

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSTEPHEN R DERNLANCredential: MD

Location Address3916 N INTERTECH CTAppleton, WI 54913

Mailing Address3916 N Intertech CtAppleton, WI 54913 · (920) 996-1000 · Fax (920) 997-8302

Phone(920) 996-1000

Fax(920) 997-8302

Sole ProprietorNo

Enumeration DateJuly 6, 2006

Last NPPES UpdateJune 1, 2023

NPPES CertifiedJune 1, 2023

✔ NPI 1083646608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 30115-020

Definition

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.

3916 N INTERTECH CT, Appleton, WI 54913

Open in Google Maps ↗

Other Identifiers 2

Medicaid31480500WI

OtherP00062904Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen R Dernlan Md 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 54913 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers62 claims179 services$5.49 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers16 claims16 services$1.06 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier17 claims385 services$2.82 avg. paid by Medicare

Adhesive or non-adhesive; disk or foam pad A5126

DME-Orthotic Devices · category DF000N

1 supplier16 claims360 services$1.26 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$80.62 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers52 claims52 services$187.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

RACHEL ROCKWEILER PA-C

Physician Assistant