MARLENE S BIRKHOLTZ-WIER D.O.
NPI 1881663847
Family Medicine in Clarinda, IA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
220 ESSIE DAVISON DR, CLARINDA, IA 51632(712) 542-2176 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marlene S Birkholtz-wier D.o. NPPES

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

MARLENE S BIRKHOLTZ-WIER D.O. (NPI 1881663847) is an individual family medicine provider in Clarinda, Iowa, licensed in Iowa (38630) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Mercyone Centerville Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1993).

NPPES Registry Identity

NPI1881663847
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARLENE S BIRKHOLTZ-WIERCredential: D.O.
Location Address220 ESSIE DAVISON DRClarinda, IA 51632-2915
Mailing AddressPo Box 217, 220 Essie Davison Dr.Clarinda, IA 51632-2915 · (712) 542-2176 · Fax (712) 542-8311
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1993
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 8, 2014
NPI 1881663847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 38630
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.
Also ListedSurgeryTaxonomy 208600000X · License 349 (NE)
220 ESSIE DAVISON DR, Clarinda, IA 51632

Other Names 1

Former Name (1)Marlene S Birkholtz D.o.

Other Identifiers 5

Medicare PIN276709NE
Medicare UPINH11342
Medicare PINC807631
Medicare PINNA1456004NE
Medicaid470767637-13NE

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

Marlene S Birkholtz-wier D.o. 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 ID8527161900
PECOS Enrollment IDI20100122000628, I20130920000178
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 4

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.

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.
24 services24 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.
20 services19 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.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161377
LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51632 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

Nurse Practitioner (Family)
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Social Worker (Clinical)
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Nurse Practitioner
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Urology
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Dietitian, Registered
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Nurse Practitioner (Family)
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632

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 Marlene Birkholtz-wier's NPI number?

The NPI number for Marlene Birkholtz-wier is 1881663847. It was assigned to this individual provider in the NPPES registry on March 14, 2006. The provider is also known as Marlene S Birkholtz D.O..

Where is Marlene Birkholtz-wier located?

Marlene Birkholtz-wier practices at 220 Essie Davison Dr, Clarinda, IA 51632. The listed phone number is (712) 542-2176.

What is Marlene Birkholtz-wier's specialty?

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

Is Marlene Birkholtz-wier enrolled in Medicare?

Yes. Marlene Birkholtz-wier 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 Marlene Birkholtz-wier accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Marlene Birkholtz-wier 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 Marlene Birkholtz-wier affiliated with any hospitals?

According to CMS data, Marlene Birkholtz-wier is affiliated with Mercyone Centerville Medical Center.

When was this NPI record last updated?

The NPPES record for Marlene Birkholtz-wier was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.