ROBERTA JO WEDL MD
NPI 1497706600
Family Medicine in Whitewater, WI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
1305 W MAIN ST, WHITEWATER, WI 53190(262) 473-4548(262) 472-7691 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2020, Jan 22, 2016, Nov 16, 2015 (3 updates tracked since 2015).

About Roberta Jo Wedl Md NPPES

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

ROBERTA JO WEDL MD (NPI 1497706600) is an individual family medicine provider in Whitewater, Wisconsin, licensed in Wisconsin (38197-020) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1995).

NPPES Registry Identity

NPI1497706600
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROBERTA JO WEDLCredential: MD
Location Address1305 W MAIN STWhitewater, WI 53190-1503
Mailing Address1305 W Main StWhitewater, WI 53190-1503 · (262) 473-4548 · Fax (262) 472-7691
Fax(262) 472-7691
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1995
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 23, 20203 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
NPI 1497706600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 38197-020
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.

1305 W MAIN ST, Whitewater, WI 53190

Other Identifiers 1

Medicaid1497706600WI

Accepted 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

Roberta Jo Wedl 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 ID6901940527
PECOS Enrollment IDI20100220000351
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 14

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.

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.
613 services301 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.
548 services331 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
307 services307 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services80 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.
94 services85 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
85 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521319
Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53190 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.

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
93%153 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%216 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
42%116 patients2/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
10 suppliers89 claims243 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers34 claims49 services$1.05 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims675 services$0.23 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$40.21 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
1 supplier11 claims11 services$116.58 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$37.70 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 8

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

Nurse Practitioner
1305 W MAIN ST
WHITEWATER, WI 53190
Nurse Practitioner
1305 W MAIN ST
WHITEWATER, WI 53190
Family Medicine
1305 W MAIN ST
WHITEWATER, WI 53190
Family Medicine
1305 W MAIN ST
WHITEWATER, WI 53190
Family Medicine
1305 W MAIN ST
WHITEWATER, WI 53190
Nurse Practitioner
1305 W MAIN ST
WHITEWATER, WI 53190
Family Medicine
1305 W MAIN ST
WHITEWATER, WI 53190
Durable Medical Equipment & Medical Supplies
1305 W MAIN ST
WHITEWATER, WI 53190

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 Roberta Wedl's NPI number?

The NPI number for Roberta Wedl is 1497706600. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Roberta Wedl located?

Roberta Wedl practices at 1305 W Main St, Whitewater, WI 53190. The listed phone number is (262) 473-4548.

What is Roberta Wedl's specialty?

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

Is Roberta Wedl enrolled in Medicare?

Yes. Roberta Wedl 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 Roberta Wedl accept?

Health plans from Anthem Blue Cross and Blue Shield list Roberta Wedl 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 Roberta Wedl affiliated with any hospitals?

According to CMS data, Roberta Wedl is affiliated with Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison, University Of Wi Hospitals & Clinics Authority, Ssm Health St Mary's Hospital - Janesville and Edgerton Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Roberta Wedl was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.