DR. GREGORY SPIELBAUER MD
NPI 1609843663
Internal Medicine in Brookfield, WI

Q: What is Gregory Spielbauer's NPI number?

The NPI number for Gregory Spielbauer is 1609843663. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Gregory Spielbauer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

17000 W NORTH AVE, SUITE 200E, BROOKFIELD, WI 53005(262) 782-4270(262) 784-9319 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gregory Spielbauer Md NPPES

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

DR. GREGORY SPIELBAUER MD (NPI 1609843663) is an individual internal medicine provider in Brookfield, Wisconsin, licensed in Wisconsin (41867) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1995).

NPPES Registry Identity

NPI1609843663

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GREGORY SPIELBAUERCredential: MD

Location Address17000 W NORTH AVE, SUITE 200EBrookfield, WI 53005-4423

Mailing Address17000 W North Ave, Suite 200eBrookfield, WI 53005-4423 · (262) 782-4270 · Fax (262) 784-9319

Phone(262) 782-4270

Fax(262) 784-9319

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1995

Enumeration DateMarch 8, 2006

Last NPPES UpdateAugust 22, 2011

✔ NPI 1609843663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 41867

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

17000 W NORTH AVE, Brookfield, WI 53005

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Other Identifiers 3

Medicare ID-Type Unspecified685450017WI

Medicare UPING76366WI

Medicaid32529700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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. Gregory Spielbauer 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 ID1850389248

PECOS Enrollment IDI20040504001131

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 10

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.

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.

301 services213 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.

229 services161 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.

217 services217 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

46 services43 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

25 services25 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

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

$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.

82.39/100

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

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Referred Medical Equipment & Supplies CMS DME claims 6

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

12 suppliers36 claims133 services$6.09 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers18 claims33 services$0.98 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers13 claims13 services$44.15 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers13 claims13 services$13.48 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers18 claims93 services$1.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier21 claims21 services$26.48 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 20

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

DR. MUSHIR HASSAN MD

Internal Medicine

17000 W NORTH AVE, SUITE 200 E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

JAMES W BURHOP MD

Surgery

17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005

Waukesha County (262) 786-3722

MRS. SUSAN MARIE COBB OTR

Occupational Therapist

17000 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

DR. RUSSELL BLANKENBURG MD

Internal Medicine

17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

MRS. PENNY BEAMS PT

Physical Therapist (Orthopedic)

17000 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

BOBBY WU MD

Surgery

17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005

Waukesha County (262) 786-3722

JACQUELINE J BERGNER APNP

Nurse Practitioner (Adult Health)

17000 W NORTH AVE, 104W
BROOKFIELD, WI 53005

Waukesha County (262) 785-7430

ELMBROOK INTERNAL MEDICINE ASSOCIATES S.C.

Clinic/Center (Primary Care)

17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

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 Gregory Spielbauer's NPI number?

The NPI number for Gregory Spielbauer is 1609843663. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Gregory Spielbauer located?

Gregory Spielbauer practices at 17000 W North Ave Suite 200E, Brookfield, WI 53005. The listed phone number is (262) 782-4270.

What is Gregory Spielbauer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gregory Spielbauer enrolled in Medicare?

Yes. Gregory Spielbauer 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 Gregory Spielbauer accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Gregory Spielbauer 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 Gregory Spielbauer affiliated with any hospitals?

According to CMS data, Gregory Spielbauer is affiliated with Waukesha Memorial Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Spielbauer was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.