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ROLF G HALLBERG MD
NPI 1386936151
Family Medicine in Appleton, WI

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
229 S MORRISON ST, APPLETON, WI 54911(920) 832-2783(920) 832-2635 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rolf G Hallberg Md NPPES

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

ROLF G HALLBERG MD (NPI 1386936151) is an individual family medicine provider in Appleton, Wisconsin, licensed in Minnesota (107798) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Fairview Northland Regional Hospital, and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1386936151
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROLF G HALLBERGCredential: MD
Location Address229 S MORRISON STAppleton, WI 54911-5725
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(920) 832-2783
Fax(920) 832-2635
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateAugust 26, 2014
✔ NPI 1386936151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 107798
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
229 S MORRISON ST, Appleton, WI 54911
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Rolf G Hallberg 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 ID3779738778
PECOS Enrollment IDI20140929000588
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 9

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.
104 services53 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
46 services37 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
29 services28 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.
27 services19 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
21 services19 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240141
Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs 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
$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
$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 4

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
4 suppliers12 claims28 services$6.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$27.31 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers14 claims1,380 services$0.06 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers12 claims12 services$17.34 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.

ALICE M BOSHOVEN MD
Family Medicine
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DR. NICOLE CUNANAN MD
Student in an Organized Health Care Education/Training Program
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DR. DANIEL SODERLUND MD
Student in an Organized Health Care Education/Training Program
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DR. ALLEN R LAST MD
Family Medicine
229 S MORRISON ST, FOX VALLEY FAMILY MEDICINE
APPLETON, WI 54911
Outagamie County (920) 997-8409
DEVAN MARTIN CHASE
Student in an Organized Health Care Education/Training Program
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
SAMUEL HAYES MD
Student in an Organized Health Care Education/Training Program
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
STEPHAN A GREEN
Student in an Organized Health Care Education/Training Program
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DR. STACEE LYNN GOEDTEL BIRR DO
Family Medicine
229 S MORRISON ST
APPLETON, WI 54911
Outagamie County (920) 832-2783

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 Rolf Hallberg's NPI number?

The NPI number for Rolf Hallberg is 1386936151. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Rolf Hallberg located?

Rolf Hallberg practices at 229 S Morrison St, Appleton, WI 54911. The listed phone number is (920) 832-2783.

What is Rolf Hallberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rolf Hallberg enrolled in Medicare?

Yes. Rolf Hallberg 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 Rolf Hallberg accept?

Health plans from Medica and Sanford Health Plan list Rolf Hallberg 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 Rolf Hallberg affiliated with any hospitals?

According to CMS data, Rolf Hallberg is affiliated with Fairview Northland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Rolf Hallberg was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.