MARLA Z WOLFERT M.D.
NPI 1528232576
Internal Medicine - Gastroenterology in Sheboygan, WI

Q: What is Marla Wolfert's NPI number?

The NPI number for Marla Wolfert is 1528232576. It was assigned to this individual provider in the NPPES registry on April 21, 2008.

Q: What is Marla Wolfert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Marla Wolfert was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 21, 2008PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

1621 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 496-4700 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Marla Z Wolfert M.d. NPPES

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

MARLA Z WOLFERT M.D. (NPI 1528232576) is an individual gastroenterology provider in Sheboygan, Wisconsin, licensed in Wisconsin (62396-020) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of University Of Wisconsin School Of Medicine (2008).

NPPES Registry Identity

NPI1528232576

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameMARLA Z WOLFERTCredential: M.D.

Location Address1621 N TAYLOR DRSheboygan, WI 53081-1990

Mailing Address3113 Saemann AveSheboygan, WI 53081-1957 · (920) 496-4700

Phone(920) 496-4700

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2008

Enumeration DateApril 21, 2008

Last NPPES UpdateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1528232576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WI · 62396-020

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1621 N TAYLOR DR, Sheboygan, WI 53081

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security 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

Marla Z Wolfert 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 ID1254551138

PECOS Enrollment IDI20140926000847

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 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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

153 services152 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

106 services106 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

106 services106 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

105 services101 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.

66 services52 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.

61 services52 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

38 services38 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.

31 services21 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

23 services23 patients

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.

18 services12 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 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.

15 services15 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

13 services13 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520035

Location3400 Union AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520044

Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520075

Location835 S Van Buren StGreen Bay, WI 54301 · Brown County

Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520097

Location1726 Shawano AveGreen Bay, WI 54303 · Brown County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

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.

94.61/100

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

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 15

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

MARY LOU ROETHEL MSN,NP-C,APNP

Nurse Practitioner (Family)

1621 N TAYLOR DR, SUITE 300
SHEBOYGAN, WI 53081

Sheboygan County (920) 496-4700

LAURA ALSTEEN APNP

Nurse Practitioner

1621 N TAYLOR DR, SUITE 300
SHEBOYGAN, WI 53081

Sheboygan County (920) 496-4700

DAWN C. BAARENDSE NP

Nurse Practitioner (Obstetrics & Gynecology)

1621 N TAYLOR DR
SHEBOYGAN, WI 53081

Sheboygan County (920) 458-4419

SHEBOYGAN LUNG SPECIALISTS, SC

Internal Medicine (Critical Care Medicine)

1621 N TAYLOR DR
SHEBOYGAN, WI 53081

Sheboygan County (920) 458-5864

SHEBOYGAN CANCER & BLOOD SPECIALISTS, SC

Internal Medicine (Medical Oncology)

1621 N TAYLOR DR
SHEBOYGAN, WI 53081

Sheboygan County (920) 458-7433

MATTHEW ONCOLOGY ASSOCIATES

Internal Medicine (Hematology & Oncology)

1621 N TAYLOR DR, SUITE 100
SHEBOYGAN, WI 53081

Sheboygan County (920) 458-7433

HOSPICE AND PALLIATIVE CARE CONSULTANTS

Internal Medicine (Hospice and Palliative Medicine)

1621 N TAYLOR DR
SHEBOYGAN, WI 53081

Sheboygan County (920) 458-7433

JENNIFER A ENGLISH APNP

Nurse Practitioner

1621 N TAYLOR DR, SUITE 300
SHEBOYGAN, WI 53081

Sheboygan County (920) 496-4700

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 Marla Wolfert's NPI number?

The NPI number for Marla Wolfert is 1528232576. It was assigned to this individual provider in the NPPES registry on April 21, 2008.

Where is Marla Wolfert located?

Marla Wolfert practices at 1621 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 496-4700.

What is Marla Wolfert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marla Wolfert enrolled in Medicare?

Yes. Marla Wolfert 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 Marla Wolfert accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Marla Wolfert 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 Marla Wolfert affiliated with any hospitals?

According to CMS data, Marla Wolfert is affiliated with Aurora Health Care Central Inc, St Nicholas Hospital, St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Marla Wolfert was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.