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DR. ERIC G VERWIEBE M.D.
NPI 1275686610
Orthopaedic Surgery in Summit, WI

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
36500 AURORA DR, SUMMIT, WI 53066(262) 434-1000 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2023, Nov 4, 2022, Dec 30, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Eric G Verwiebe M.d. NPPES

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

DR. ERIC G VERWIEBE M.D. (NPI 1275686610) is an individual orthopaedic surgery provider in Summit, Wisconsin, licensed in Wisconsin (81196) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center - Summit, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1275686610
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ERIC G VERWIEBECredential: M.D.
Location Address36500 AURORA DRSummit, WI 53066-4899
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 434-1000
Phone(262) 434-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 25, 20234 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1275686610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WI · 81196
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 23998 (NE)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 12187 (SD), N6752 (TX)
36500 AURORA DR, Summit, WI 53066
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Other Identifiers 1

Medicaid100228379WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and more.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. Eric G Verwiebe 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 ID244363083
PECOS Enrollment IDI20230407000231
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services57 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.
37 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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 20

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

BIJAN NEZAMI
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
KEVIN L EGGLESTON M.D.
Hospitalist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-4711
KODY LEWIS PA C
Physician Assistant
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
REBECCA M STRIET M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066
Waukesha County (262) 434-5000
REBECCA SUSA DPT, ATC-L
Physical Therapist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-2600
VIJAY JOHNSON M.D
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
MRS. KELLY S CAMPBELL ANP-BC
Nurse Practitioner
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
DR. BRETT MCLACHLAN M.D.
Emergency Medicine
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000

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 Eric Verwiebe's NPI number?

The NPI number for Eric Verwiebe is 1275686610. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Eric Verwiebe located?

Eric Verwiebe practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.

What is Eric Verwiebe's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eric Verwiebe enrolled in Medicare?

Yes. Eric Verwiebe 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 Eric Verwiebe accept?

Health plans from Aspirus Health Plan, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Eric Verwiebe 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 Eric Verwiebe affiliated with any hospitals?

According to CMS data, Eric Verwiebe is affiliated with Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Eric Verwiebe was last updated on July 25, 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.