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DR. VALERIE MARGARET CARLBERG M.D.
NPI 1396181525
Dermatology - Pediatric Dermatology in Wauwatosa, WI

Active since May 15, 2013PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226(414) 454-8000(414) 805-3808 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2022, Sep 6, 2018 (2 updates tracked since 2018).

About Dr. Valerie Margaret Carlberg M.d. NPPES

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

DR. VALERIE MARGARET CARLBERG M.D. (NPI 1396181525) is an individual pediatric dermatology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (69686) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (2013).

NPPES Registry Identity

NPI1396181525
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameDR. VALERIE MARGARET CARLBERGCredential: M.D.
Location Address10000 W BLUEMOUND RDWauwatosa, WI 53226-4321
Mailing Address10000 W Bluemound RdWauwatosa, WI 53226-4321 · (414) 454-8000 · Fax (414) 805-3808
Phone(414) 454-8000
Fax(414) 805-3808
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2013
Enumeration DateMay 15, 2013
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1396181525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in WI · 69686
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
10000 W BLUEMOUND RD, Wauwatosa, WI 53226
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13223 S 103rd StMilwaukee, WI 53227-4103 · Phone (414) 328-5800
Location 29000 W Wisconsin AveMilwaukee, WI 53226 · Phone (414) 266-1569 · Fax (414) 266-3315
Location 39200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5320 · Fax (414) 805-5323

Other Identifiers 1

Medicaid1396181525WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, 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. Valerie Margaret Carlberg 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 ID840418315
PECOS Enrollment IDI20180925001143
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

JESSICA MARIE DENTON APNP
Nurse Practitioner (Family)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 324-2309
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Rehabilitation Unit
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 454-8000
JULIA MARIAN KASPRZAK M.D.
Dermatology (MOHS-Micrographic Surgery)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 454-8000
DR. MELANIE ANNE CLARK M.D.
Dermatology (MOHS-Micrographic Surgery)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 454-8000
FROEDTERT HEALTH PHARMACY, LLC
Pharmacy (Community/Retail Pharmacy)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 454-8150
KERI CHANEY M.D.
Dermatology
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 454-8000
KEELY MARSHALL M.D.
Dermatology
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 454-8000
AMANDA ELIZABETH FUNK
Physician Assistant
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Milwaukee County (414) 454-8000

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 Valerie Carlberg's NPI number?

The NPI number for Valerie Carlberg is 1396181525. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Valerie Carlberg located?

Valerie Carlberg practices at 10000 W Bluemound Rd, Wauwatosa, WI 53226. The listed phone number is (414) 454-8000.

What is Valerie Carlberg's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Valerie Carlberg enrolled in Medicare?

Yes. Valerie Carlberg 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 Valerie Carlberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Valerie Carlberg 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.

When was this NPI record last updated?

The NPPES record for Valerie Carlberg was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.