DR. MARC D BIEDERMANN M.D.
NPI 1912131699
Emergency Medicine in Antigo, WI

Active since May 08, 2009PECOS Enrolled
76.95/100
CMS Quality Rating
112 E 5TH AVE, ANTIGO, WI 54409(715) 623-2331 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2020, Oct 12, 2020, Apr 2, 2019 (3 updates tracked since 2019).

About Dr. Marc D Biedermann M.d. NPPES

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

DR. MARC D BIEDERMANN M.D. (NPI 1912131699) is an individual emergency medicine provider in Antigo, Wisconsin, licensed in Wisconsin (55233-20) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912131699
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARC D BIEDERMANNCredential: M.D.
Location Address112 E 5TH AVEAntigo, WI 54409-2710
Mailing Address112 E 5th AveAntigo, WI 54409-2710 · (715) 623-2331
Sole ProprietorNo
Enumeration DateMay 8, 2009
Last NPPES UpdateNovember 17, 20203 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1912131699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 55233-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
112 E 5TH AVE, Antigo, WI 54409

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc D Biedermann M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Marc Biedermann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
110 E 5TH AVE
Antigo, WI 54409
  • Reassigned Medicare billing, Wisconsin enrollment
  • 321 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54409 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
$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.

76.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.52
Promoting Interoperability100
Improvement Activities40
Cost25.22

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.

Physical Therapist
112 E 5TH AVE
ANTIGO, WI 54409
Occupational Therapist (Hand)
112 E 5TH AVE
ANTIGO, WI 54409
Speech-Language Pathologist
112 E 5TH AVE
ANTIGO, WI 54409
Physical Therapist
112 E 5TH AVE
ANTIGO, WI 54409
Nurse Practitioner (Family)
112 E 5TH AVE
ANTIGO, WI 54409
Dietitian, Registered (Nutrition, Renal)
112 E 5TH AVE
ANTIGO, WI 54409
Registered Nurse
112 E 5TH AVE
ANTIGO, WI 54409
Family Medicine
112 E 5TH AVE
ANTIGO, WI 54409

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 Marc Biedermann's NPI number?

The NPI number for Marc Biedermann is 1912131699. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Marc Biedermann located?

Marc Biedermann practices at 112 E 5th Ave, Antigo, WI 54409. The listed phone number is (715) 623-2331.

What is Marc Biedermann's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Biedermann enrolled in Medicare?

Yes. Marc Biedermann is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marc Biedermann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Biedermann reassigns Medicare benefits to Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin (Antigo, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Biedermann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Biedermann accept?

Health plans from Group Health Cooperative-SCW list Marc Biedermann 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 Marc Biedermann was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.