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DR. GIANINA L SIBLA M.D.
NPI 1275736530
Hospitalist in Appleton, WI

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 731-4101(920) 735-7618 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2023, May 18, 2021, Jan 10, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Gianina L Sibla M.d. NPPES

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

DR. GIANINA L SIBLA M.D. (NPI 1275736530) is an individual hospitalist provider in Appleton, Wisconsin, licensed in Wisconsin (50712) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1275736530
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. GIANINA L SIBLACredential: M.D.
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 731-4101
Phone(920) 731-4101
Fax(920) 735-7618
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 6, 2007
Last NPPES UpdateAugust 16, 20235 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1275736530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 50712
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 50712 (WI), 036116695 (IL)
1818 N MEADE ST, Appleton, WI 54911
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11860 Shawano AveGreen Bay, WI 54303-2667 · Phone (920) 496-4700
Location 2855 N Westhaven DrOshkosh, WI 54904-7668 · Phone (920) 303-8700 · Fax (920) 456-7601
Location 3130 2nd Stneenah, WI 54956 · Phone (920) 831-6953

Other Identifiers 1

Medicaid34941300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).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. Gianina L Sibla 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 ID7315032315
PECOS Enrollment IDI20071005000448
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 7

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.

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.
264 services116 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
74 services74 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
56 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services35 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.63 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.

MRS. THERESA ANN HAGMAN PTA
Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
HANNA ROSE SIPPEL PA
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
ANN M HEFTER AGACNP-BC, MSN, BSN
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
DESSIA J LAXTON APNP
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
MISS AMBER LYNN NEVALA CST
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (906) 280-5495
DAVID MICHAEL DENELL MPT LAT/C
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
PHILIP ANTHONY VOGT MD
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Outagamie County (920) 731-8289
SYED TAIMUR ALI M.D.
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101

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 Gianina Sibla's NPI number?

The NPI number for Gianina Sibla is 1275736530. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Gianina Sibla located?

Gianina Sibla practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-4101.

What is Gianina Sibla's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gianina Sibla enrolled in Medicare?

Yes. Gianina Sibla 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 Gianina Sibla accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Gianina Sibla 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 Gianina Sibla affiliated with any hospitals?

According to CMS data, Gianina Sibla is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Gianina Sibla was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.