JAMES P. VOLBERDING M.D.
NPI 1629007125
Internal Medicine in Milwaukee, WI

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
788 N JEFFERSON ST, SUITE 300, MILWAUKEE, WI 53202(414) 272-8950(414) 272-0859 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James P. Volberding M.d. NPPES

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

JAMES P. VOLBERDING M.D. (NPI 1629007125) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (25736) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Southern Illinois University School Of Medicine (1982).

NPPES Registry Identity

NPI1629007125
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES P. VOLBERDINGCredential: M.D.
Location Address788 N JEFFERSON ST, SUITE 300Milwaukee, WI 53202-3718
Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Fax(414) 272-0859
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1982
Enumeration DateJune 30, 2006
Last NPPES UpdateNovember 15, 2016
NPI 1629007125 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 · 25736
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.

788 N JEFFERSON ST, Milwaukee, WI 53202

Other Identifiers 2

Medicare PIN000773645WI
Medicaid1629007125WI

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

James P. Volberding 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 ID9537060975
PECOS Enrollment IDI20051114000458
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.

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.
651 services281 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.
229 services229 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.
107 services82 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
96 services45 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.
84 services83 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
83 services62 patients

Hospital Affiliations CMS Care Compare 5

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

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 St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Referred Medical Equipment & Supplies CMS DME claims 4

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
9 suppliers27 claims93 services$5.82 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$34.75 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$25.42 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier20 claims20 services$6.83 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 16

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

Pharmacy (Community/Retail Pharmacy)
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Occupational Therapist
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Internal Medicine (Gastroenterology)
788 N JEFFERSON ST, SUITE 401
MILWAUKEE, WI 53202

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 James Volberding's NPI number?

The NPI number for James Volberding is 1629007125. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is James Volberding located?

James Volberding practices at 788 N Jefferson St Suite 300, Milwaukee, WI 53202. The listed phone number is (414) 272-8950.

What is James Volberding's specialty?

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

Is James Volberding enrolled in Medicare?

Yes. James Volberding 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 James Volberding accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list James Volberding 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 James Volberding affiliated with any hospitals?

According to CMS data, James Volberding is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension SE Wisconsin Hospital, Aurora St Lukes Medical Center and Orthopaedic Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for James Volberding was last updated on November 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.