DR. RUSSELL BLANKENBURG MD
NPI 1104893577
Internal Medicine in Brookfield, WI

Q: What is Russell Blankenburg's NPI number?

The NPI number for Russell Blankenburg is 1104893577. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Q: What is Russell Blankenburg's specialty?

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

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

17000 W NORTH AVE, SUITE 200E, BROOKFIELD, WI 53005(262) 782-4270(262) 784-9319 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Russell Blankenburg Md NPPES

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

DR. RUSSELL BLANKENBURG MD (NPI 1104893577) is an individual internal medicine provider in Brookfield, Wisconsin, licensed in Wisconsin (35536) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1104893577

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RUSSELL BLANKENBURGCredential: MD

Location Address17000 W NORTH AVE, SUITE 200EBrookfield, WI 53005-4423

Mailing Address17000 W North AveBrookfield, WI 53005-4423 · (262) 782-4270 · Fax (262) 784-9319

Phone(262) 782-4270

Fax(262) 784-9319

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993

Enumeration DateMarch 3, 2006

Last NPPES UpdateDecember 7, 2009

✔ NPI 1104893577 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 · 35536

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.

17000 W NORTH AVE, Brookfield, WI 53005

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Other Identifiers 3

Medicare ID-Type Unspecified685450013WI

Medicaid32210000WI

Medicare UPING23551WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Russell Blankenburg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850389214

PECOS Enrollment IDI20040504000957

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

217 services217 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

153 services114 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services59 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

26 services20 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520078

Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County

Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Referred Medical Equipment & Supplies CMS DME claims 9

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

13 suppliers38 claims139 services$5.27 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims16 services$0.92 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers11 claims11 services$68.51 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers11 claims11 services$39.33 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers13 claims13 services$12.72 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers12 claims12 services$6.95 avg. paid by Medicare

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

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.

DR. MUSHIR HASSAN MD

Internal Medicine

17000 W NORTH AVE, SUITE 200 E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

JAMES W BURHOP MD

Surgery

17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005

Waukesha County (262) 786-3722

MRS. SUSAN MARIE COBB OTR

Occupational Therapist

17000 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

MRS. PENNY BEAMS PT

Physical Therapist (Orthopedic)

17000 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

BOBBY WU MD

Surgery

17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005

Waukesha County (262) 786-3722

JACQUELINE J BERGNER APNP

Nurse Practitioner (Adult Health)

17000 W NORTH AVE, 104W
BROOKFIELD, WI 53005

Waukesha County (262) 785-7430

ELMBROOK INTERNAL MEDICINE ASSOCIATES S.C.

Clinic/Center (Primary Care)

17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

SARAH J HOFFMAN

Physical Therapist

17000 W NORTH AVE, 2W
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

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 Russell Blankenburg's NPI number?

The NPI number for Russell Blankenburg is 1104893577. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Russell Blankenburg located?

Russell Blankenburg practices at 17000 W North Ave Suite 200E, Brookfield, WI 53005. The listed phone number is (262) 782-4270.

What is Russell Blankenburg's specialty?

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

Is Russell Blankenburg enrolled in Medicare?

Yes. Russell Blankenburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Russell Blankenburg accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Russell Blankenburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Russell Blankenburg affiliated with any hospitals?

According to CMS data, Russell Blankenburg is affiliated with Waukesha Memorial Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Russell Blankenburg was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.