BETSY JANE WERNLI M.D
NPI 1437378973
Dermatology in Manitowoc, WI

Q: What is Betsy Wernli's NPI number?

The NPI number for Betsy Wernli is 1437378973. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Betsy Wernli's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Betsy Wernli was last updated on September 16, 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.

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment

85.01/100

CMS Quality Rating

1515 RANDOLPH CT, MANITOWOC, WI 54220(920) 683-5278(920) 482-0359 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2024, Oct 12, 2022, Jan 5, 2022 and 2 more (5 updates tracked since 2019).

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About Betsy Jane Wernli M.d NPPES

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

BETSY JANE WERNLI M.D (NPI 1437378973) is an individual dermatology provider in Manitowoc, Wisconsin, licensed in Wisconsin (55439) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1437378973

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameBETSY JANE WERNLICredential: M.D

Location Address1515 RANDOLPH CTManitowoc, WI 54220-8345

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(920) 683-5278

Fax(920) 482-0359

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 24, 2007

Last NPPES UpdateSeptember 16, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1437378973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in WI · 55439

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1515 RANDOLPH CT, Manitowoc, WI 54220

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Secondary Practice Locations 8

Location 1111 Wisconsin American DrFond Du Lac, WI 54937-6725 · Phone (920) 923-0788

Location 2715 Superior Rd Ste 120Green Bay, WI 54311-7595 · Phone (920) 406-9803 · Fax (920) 406-9934

Location 33515 Murray StMarinette, WI 54143-3367 · Phone (715) 732-0699 · Fax (715) 732-3522

Location 42600 N Mayfair Rd Ste 810Milwaukee, WI 53226-1328 · Phone (414) 771-1122

Location 5451 E Brooklyn St Ste 5Chilton, WI 53014-1595 · Phone (920) 849-2100

Location 6N4531 State Highway 22 Ste 5Shawano, WI 54166-6173 · Phone (715) 524-5995 · Fax (715) 953-4257

Location 72806 Riverview DrGreen Bay, WI 54313-6717 · Phone (920) 498-7546 · Fax (920) 569-4129

Location 8835 S Main St Ste 1Oconto Falls, WI 54154-1282 · Phone (920) 846-4864 · Fax (920) 846-2073

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Betsy Jane Wernli 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 ID8224223748

PECOS Enrollment IDI20110616000402

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.

Medicare Billing Reassignment

Medicare enrollment records show Betsy Wernli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Forefront Dermatology, S.C.

Same address

Dermatology

1515 RANDOLPH CT
Manitowoc, WI 54220

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Forefront Dermatology Sc
60 clinicians in this Medicare group

NPI 1578515904 (920) 683-5278

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

638 services138 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.

434 services326 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

255 services198 patients

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.

177 services132 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

135 services114 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

74 services66 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.

34 services34 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

25 services25 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

21 services14 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.

19 services18 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

18 services18 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

18 services16 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services15 patients

Acne surgery 10040

Acne surgery is a procedure to clear up severe acne that doesn't respond to other treatments. It involves a dermatologist using specialized tools to remove blackheads, whiteheads, and pimples. This helps to reduce the appearance of acne and prevent future breakouts.

15 services14 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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.

85.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

72.75

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

40%1,100 patients2/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%180 patients

Melanoma: Coordination of Care

80%30 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 607 patients

Patients screened: 99% · 607 patients

87%39 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

95%706 patients4/55-star benchmark: 100%

Psoriasis: Clinical Response to Systemic Medications

74%23 patients

Tobacco Use and Help with Quitting Among Adolescents

94%99 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

KENNETH HENRY KATZ M.D.

Dermatology (MOHS-Micrographic Surgery)