KERRY S DERNBACH (DPM) – Podiatrist, NPI 1306944152

KERRY S DERNBACH (DPM) is a healthcare provider. based in Marshfield, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 900 (WI). The NPI Number for KERRY S DERNBACH (DPM) is 1306944152

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KERRY S DERNBACH (DPM)
NPI
1306944152
Phone
Not provided
Address
1000 N OAK AVE
Enumeration Date
20 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153931000
Graduation Year
2003 (23 years ago)
PAC ID
0244274868
Group Practice PAC ID
5698071173
Professional Enrollment ID
I20050615000132
Address ID
WI544765220WE3400XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

297 PODIATRY in WI

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Provider Addresses for KERRY S DERNBACH (DPM)

  • Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States

    MARSHFIELD, WI 544495777

    Phone:

    Type: Mailing

  • Marshfield Clinic Weston Center, 3501, Cranberry Boulevard, Weston Medical Center, Village of Weston, Marathon County, Wisconsin, 54476, United States

    WESTON, WI 54476

    Phone: (715) 393-1000

    Type: Location

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: 2005-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050615000132IPodiatryWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes253156$0
11721Removal of fingernails or toenails, 6 or more nails225117$0
99213Established patient office or other outpatient visit, 20-29 minutes219145$0
99204New patient office or other outpatient visit, 45-59 minutes7777$0
11042Removal of skin and tissue, 20.0 sq cm or less2513$0
View full utilization report →

Insurance plans in this area (ZIP 54449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698071173View full group profile
NameSpecialtyState
-WI
N E U R O L O G YNY
Nurse PractitionerWI
Interventional Radiology, Diagnostic RadiologyWI
-WI
P S Y C H I A T R YIL
-MI
Internal MedicineWI
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What identifier follows KERRY S DERNBACH (DPM) across health systems?
The NPI 1306944152 uniquely identifies KERRY S DERNBACH (DPM) in U.S. healthcare data.
Does the public listing show KERRY S DERNBACH (DPM) as active?
KERRY S DERNBACH (DPM)'s NPI record reflects an active status in NPPES.
What does the directory say KERRY S DERNBACH (DPM) does?
Insurance directories may phrase it differently, but here KERRY S DERNBACH (DPM) maps to Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to KERRY S DERNBACH (DPM)?
The directory associates KERRY S DERNBACH (DPM) with Marshfield, Wisconsin. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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