BARBARA E BUDIMLIJA PA
NPI 1205841012
Physician Assistant in Wausau, WI

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
425 PINE RIDGE BLVD, SUITE 200, WAUSAU, WI 54401(715) 847-2480 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Barbara E Budimlija Pa NPPES

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

BARBARA E BUDIMLIJA PA (NPI 1205841012) is an individual physician assistant in Wausau, Wisconsin, licensed in Wisconsin (1372) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205841012
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBARBARA E BUDIMLIJACredential: PA
Location Address425 PINE RIDGE BLVD, SUITE 200Wausau, WI 54401-4123
Mailing AddressPo Box 1008Wausau, WI 54402-1008 · (715) 847-2304
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 30, 2006
Last NPPES UpdateSeptember 18, 2009
NPI 1205841012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1372
Definition
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.
425 PINE RIDGE BLVD, Wausau, WI 54401

Other Names 1

Former Name (1)Barbara E Schreiner

Other Identifiers 3

Medicare ID-Type Unspecified000539115WI
Medicare UPINP33760WI
Medicaid41930700WI

Accepted 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

Barbara E Budimlija Pa 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 ID9638249451
PECOS Enrollment IDI20080605000771
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 3

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.

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.
78 services75 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.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services12 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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.

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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers230 claims230 services$43.14 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers23 claims58 services$1.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers224 claims224 services$102.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers237 claims551 services$39.91 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers57 claims281 services$23.20 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers59 claims317 services$15.93 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.

Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Plastic Surgery
425 PINE RIDGE BLVD, SUITE 205
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Clinic/Center
425 PINE RIDGE BLVD, SUITE 220A
WAUSAU, WI 54401
Anesthesiology
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401

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 Barbara Budimlija's NPI number?

The NPI number for Barbara Budimlija is 1205841012. It was assigned to this individual provider in the NPPES registry on July 30, 2006. The provider is also known as Barbara E Schreiner.

Where is Barbara Budimlija located?

Barbara Budimlija practices at 425 Pine Ridge Blvd Suite 200, Wausau, WI 54401. The listed phone number is (715) 847-2480.

What is Barbara Budimlija's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Barbara Budimlija enrolled in Medicare?

Yes. Barbara Budimlija 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 Barbara Budimlija accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Barbara Budimlija 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 Barbara Budimlija affiliated with any hospitals?

According to CMS data, Barbara Budimlija is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Budimlija was last updated on September 18, 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.