ROBERT NIEBERGALL (MD) – Internal Medicine Physician, NPI 1912975012
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ROBERT NIEBERGALL (MD)
West Boise Circle, Broken Arrow, Tulsa County, Oklahoma, 74012-9565, United States
BROKEN ARROW, OK 740124932
Phone: (918) 994-9160
Fax: (918) 403-6306
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061209000030 | I | Internal Medicine | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 476 | 231 | $0 |
| 83036 | Hemoglobin a1c level | 167 | 87 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 97 | 97 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 88 | 88 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 31 | 28 | $0 |
Insurance plans in this area (ZIP 74012)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OK | 83036 | Hemoglobin A1C level | 178 | 117 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| Family Practice | NY | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| Internal Medicine | OK | |
| - | OK | |
| Family Practice | OK | |
| Family Practice, General Practice, Emergency Medicine | ND | |
| Mental Health Counselor | OK |
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