DR. JOEL W NIEBUHR (D.O.) – Pulmonary Disease Physician, NPI 1902015167
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
348 PULMONARY DISEASE in WI
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Provider Addresses for DR. JOEL W NIEBUHR (D.O.)
3803, Spring Street, Mount Pleasant, Racine County, Wisconsin, 53405, United States
SUITE 600
RACINE, WI 53405
Phone: (262) 687-8312
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
Trefoil Circle, Auburn Hills, Caledonia, Racine County, Wisconsin, 53406, United States
RACINE, WI 534061189
Phone: (262) 886-6763
Type: Mailing
3803 Spring St
Suite 600
Racine, WI 53405
Phone: (262) 687-8312
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (262) 948-5600
Type: Mailing
10400 75TH ST
KENOSHA, WI 531427884
Phone: (262) 948-5600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($89).
Total Amount
$89
General + Research + Ownership
Payments
1
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $89 |
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: 2010-10-08
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 |
|---|---|---|---|---|
| I20101008001019 | I | Pulmonary Disease | WI | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 362 | 115 | $0 |
| 99291 | Critical care, first 30-74 minutes | 234 | 68 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 193 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 77 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 106 | 92 | $0 |
Insurance plans in this area (ZIP 53405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | WI | 94727 | Determination of lung volumes using gas dilution or washout | 45 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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