GRETCHEN MARY ZIRBEL MD
NPI 1588658371
Dermatology in Brookfield, WI

Active since September 07, 2005PECOS Enrolled
87.09/100
CMS Quality Rating
13800 W NORTH AVE, STE 100, BROOKFIELD, WI 53005(262) 754-4488(262) 754-4940 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gretchen Mary Zirbel Md NPPES

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

GRETCHEN MARY ZIRBEL MD (NPI 1588658371) is an individual dermatology provider in Brookfield, Wisconsin, licensed in Wisconsin (32404020) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588658371
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameGRETCHEN MARY ZIRBELCredential: MD
Location Address13800 W NORTH AVE, STE 100Brookfield, WI 53005-4974
Mailing Address13800 W North Ave, Ste 100Brookfield, WI 53005-4974 · (262) 754-4488 · Fax (262) 754-4940
Fax(262) 754-4940
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateApril 20, 2008
NPI 1588658371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 32404020
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.
13800 W NORTH AVE, Brookfield, WI 53005

Other Identifiers 4

Medicare UPINF77944
Other$$$$$$$$$004WI · Blue Cross Blue Shield
OtherP00423622WI · Railroad Medicare
Medicaid32010100WI

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 (PECOS)

Gretchen Mary Zirbel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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.
757 services149 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.
582 services445 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.
215 services184 patients
Therapy procedure using ultraviolet radiation with tar or petroleum jelly application 96910
This therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.
110 services13 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.
102 services90 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.
90 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.66
Promoting Interoperability90
Improvement Activities40
Cost83.64

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.

Pediatrics (Neurodevelopmental Disabilities)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Speech-Language Pathologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE, STE 100
BROOKFIELD, WI 53005
Nurse Practitioner (Pediatrics)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Psychologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005

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 Gretchen Zirbel's NPI number?

The NPI number for Gretchen Zirbel is 1588658371. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Gretchen Zirbel located?

Gretchen Zirbel practices at 13800 W North Ave Ste 100, Brookfield, WI 53005. The listed phone number is (262) 754-4488.

What is Gretchen Zirbel's specialty?

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

Is Gretchen Zirbel enrolled in Medicare?

Yes. Gretchen Zirbel is registered in the Medicare PECOS enrollment system.

What insurance does Gretchen Zirbel accept?

Health plans from Anthem Blue Cross and Blue Shield list Gretchen Zirbel 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 Gretchen Zirbel was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.