KIMBERLY BREIDENBACH MD
NPI 1972893071
Family Medicine in Whitehall, WI

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment
18606 ERVIN ST, WHITEHALL, WI 54773(715) 538-4355 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Breidenbach Md NPPES

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

KIMBERLY BREIDENBACH MD (NPI 1972893071) is an individual family medicine provider in Whitehall, Wisconsin, licensed in Wisconsin (62657) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972893071
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY BREIDENBACHCredential: MD
Location Address18606 ERVIN STWhitehall, WI 54773-8613
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 11, 2011
Last NPPES UpdateFebruary 16, 2015
NPI 1972893071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 62657
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.
18606 ERVIN ST, Whitehall, WI 54773

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

Kimberly Breidenbach 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 ID9234451832
PECOS Enrollment IDI20141210001655
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.

Hospital Affiliations CMS Care Compare 3

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Gundersen Tri-County Hospital & Clinics

Critical Access Hospitals · Whitehall, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521316
Location18601 Lincoln StWhitehall, WI 54773 · Trempealeau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54773 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 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
6 suppliers30 claims54 services$5.52 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$24.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$119.02 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
3 suppliers18 claims18 services$174.09 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 11

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

Physician Assistant (Medical)
18606 ERVIN ST
WHITEHALL, WI 54773
Physician Assistant
18606 ERVIN ST
WHITEHALL, WI 54773
Nurse Practitioner (Family)
18606 ERVIN ST
WHITEHALL, WI 54773
Optometrist
18606 ERVIN ST
WHITEHALL, WI 54773
Family Medicine
18606 ERVIN ST
WHITEHALL, WI 54773
Physician Assistant
18606 ERVIN ST
WHITEHALL, WI 54773
Optometrist
18606 ERVIN ST
WHITEHALL, WI 54773
Clinic/Center (Rural Health)
18606 ERVIN ST
WHITEHALL, WI 54773

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 Kimberly Breidenbach's NPI number?

The NPI number for Kimberly Breidenbach is 1972893071. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Kimberly Breidenbach located?

Kimberly Breidenbach practices at 18606 Ervin St, Whitehall, WI 54773. The listed phone number is (715) 538-4355.

What is Kimberly Breidenbach's specialty?

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

Is Kimberly Breidenbach enrolled in Medicare?

Yes. Kimberly Breidenbach 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 Kimberly Breidenbach accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Quartz list Kimberly Breidenbach 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 Kimberly Breidenbach affiliated with any hospitals?

According to CMS data, Kimberly Breidenbach is affiliated with Mayo Clinic Health System Eau Claire Hospital, Gundersen Lutheran Medical Center and Gundersen Tri-County Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Kimberly Breidenbach was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.