DR. TERESA L BIROS MD
NPI 1972577898
Family Medicine in Hudson, WI

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
2651 HILLCREST DRIVE, HUDSON, WI 54016(715) 531-6800(715) 531-6801 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2023, Nov 8, 2016 (2 updates tracked since 2016).

About Dr. Teresa L Biros Md NPPES

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

DR. TERESA L BIROS MD (NPI 1972577898) is an individual family medicine provider in Hudson, Wisconsin, licensed in Wisconsin (43027) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Texas Medical School At Houston (1987).

NPPES Registry Identity

NPI1972577898
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TERESA L BIROSCredential: MD
Location Address2651 HILLCREST DRIVEHudson, WI 54016-4439
Mailing Address2651 Hillcrest Drive, Suite 303Hudson, WI 54016-4439 · (715) 531-6800 · Fax (715) 531-6801
Fax(715) 531-6801
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1987
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1972577898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 43027 Licensed in MN · 31705
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.
2651 HILLCREST DRIVE, Hudson, WI 54016

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

Dr. Teresa L Biros 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 ID4385785559
PECOS Enrollment IDI20100109000418
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 33

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
327 services165 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
327 services40 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
161 services134 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.
147 services102 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.
138 services96 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
128 services124 patients

Hospital Affiliations CMS Care Compare 4

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521347
Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54016 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
7 suppliers50 claims111 services$5.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$23.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers21 claims22 services$200.63 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.

Physical Medicine & Rehabilitation
2651 HILLCREST DRIVE
HUDSON, WI 54016
Obstetrics & Gynecology (Obstetrics)
2651 HILLCREST DRIVE
HUDSON, WI 54016
Obstetrics & Gynecology
2651 HILLCREST DRIVE
HUDSON, WI 54016
Pediatrics (Pediatric Endocrinology)
2651 HILLCREST DRIVE
HUDSON, WI 54016
Physician Assistant
2651 HILLCREST DRIVE
HUDSON, WI 54016
Pediatrics
2651 HILLCREST DRIVE
HUDSON, WI 54016
Family Medicine
2651 HILLCREST DRIVE
HUDSON, WI 54016
Family Medicine
2651 HILLCREST DRIVE
HUDSON, WI 54016

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 Teresa Biros's NPI number?

The NPI number for Teresa Biros is 1972577898. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Teresa Biros located?

Teresa Biros practices at 2651 Hillcrest Drive, Hudson, WI 54016. The listed phone number is (715) 531-6800.

What is Teresa Biros's specialty?

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

Is Teresa Biros enrolled in Medicare?

Yes. Teresa Biros 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 Teresa Biros accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Teresa Biros 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 Teresa Biros affiliated with any hospitals?

According to CMS data, Teresa Biros is affiliated with Lakeview Memorial Hospital, M Health Fairview Woodwinds Hospital, Hudson Hospital and Western Wisconsin Health.

When was this NPI record last updated?

The NPPES record for Teresa Biros was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.