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ELAINE C. DROBNY M.D.
NPI 1265488365
Internal Medicine - Endocrinology, Diabetes & Metabolism in Milwaukee, WI

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
788 N JEFFERSON ST, SUITE 201, MILWAUKEE, WI 53202(414) 226-4010(414) 274-6270 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elaine C. Drobny M.d. NPPES

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

ELAINE C. DROBNY M.D. (NPI 1265488365) is an individual endocrinology, diabetes & metabolism provider in Milwaukee, Wisconsin, licensed in Wisconsin (25577) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Arizona College Of Medicine (1977).

NPPES Registry Identity

NPI1265488365
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameELAINE C. DROBNYCredential: M.D.
Location Address788 N JEFFERSON ST, SUITE 201Milwaukee, WI 53202-3718
Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Phone(414) 226-4010
Fax(414) 274-6270
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1977
Enumeration DateMay 26, 2006
Last NPPES UpdateNovember 7, 2016
✔ NPI 1265488365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WI · 25577
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

788 N JEFFERSON ST, Milwaukee, WI 53202
Open in Google Maps ↗

Other Identifiers 2

Medicaid1265488365WI
Medicare PIN002573645WI

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

Elaine C. Drobny M.d. 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 ID345264701
PECOS Enrollment IDI20060124000891
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 4

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 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.
135 services76 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
105 services47 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.
69 services45 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
64 services25 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers37 claims460 services$18.32 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers35 claims1,102 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
6 suppliers22 claims22 services$165.72 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers48 claims209 services$5.73 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers36 claims36 services$298.76 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers30 claims4,800 services$7.13 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 16

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

AURORA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Milwaukee County (414) 271-4441
SARA ELIZABETH SCHULTZ
Occupational Therapist
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Milwaukee County (414) 277-6508
UNCHU KO M.D.
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Milwaukee County (414) 272-8950
ABRAHAM VARGHESE M.D.
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Milwaukee County (414) 272-8950
KATHLEEN A. BAUGRUD M.D.
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Milwaukee County (414) 272-8950
DR. BRENT FOSSUM JONES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Milwaukee County (414) 226-4010
VINCENTS J. DINDZANS M.D.
Internal Medicine (Gastroenterology)
788 N JEFFERSON ST, SUITE 401
MILWAUKEE, WI 53202
Milwaukee County (414) 226-4020
PATRICIA J. DOLHUN M.D.
Obstetrics & Gynecology (Gynecology)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Milwaukee County (414) 226-4011

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 Elaine Drobny's NPI number?

The NPI number for Elaine Drobny is 1265488365. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Elaine Drobny located?

Elaine Drobny practices at 788 N Jefferson St Suite 201, Milwaukee, WI 53202. The listed phone number is (414) 226-4010.

What is Elaine Drobny's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Elaine Drobny enrolled in Medicare?

Yes. Elaine Drobny 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 Elaine Drobny accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Elaine Drobny 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 Elaine Drobny affiliated with any hospitals?

According to CMS data, Elaine Drobny is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Elaine Drobny was last updated on November 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.