DR. MARC D BIEDERMANN (M.D.) – Emergency Medicine Physician, NPI 1912131699

DR. MARC D BIEDERMANN (M.D.) is a healthcare provider. based in Antigo, Wisconsin. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 55233-20 (WI). The NPI Number for DR. MARC D BIEDERMANN (M.D.) is 1912131699

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARC D BIEDERMANN (M.D.)
NPI
1912131699
Phone
(715) 623-2331
Address
112 E 5TH AVE
Enumeration Date
8 May 2009
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6087424131
Graduation Year
2009 (17 years ago)
PAC ID
0547416547
Group Practice PAC ID
5799684007
Professional Enrollment ID
I20120807000591
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for DR. MARC D BIEDERMANN (M.D.)

  • 112 E 5TH AVE

    ANTIGO, WI 544092710

    Phone: (715) 623-2331

    Type: Mailing

  • Aspirus Divine Savior Hospital, 2817, New Pinery Road, Portage, Columbia County, Wisconsin, 53901, United States

    PORTAGE, WI 53901

    Phone: (608) 742-4131

    Type: Location

  • 5735, Karls Lane, Town of Laona, Forest County, Wisconsin, 54541, United States

    LAONA, WI 545419241

    Phone:

    Type: Mailing

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: 2012-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1016 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20120807000591IEmergency MedicineWI2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54409)

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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: 5799684007View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
Physical Medicine And RehabilitationWI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency Medicine, Addiction MedicineWI
Physician AssistantWI
Emergency MedicineNY

Reviews

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Frequently asked questions

Is there an official ID for DR. MARC D BIEDERMANN (M.D.) in U.S. healthcare records?
The official identifier for DR. MARC D BIEDERMANN (M.D.) is NPI 1912131699.
Would DR. MARC D BIEDERMANN (M.D.) appear as active to a payer?
You can treat DR. MARC D BIEDERMANN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. MARC D BIEDERMANN (M.D.)?
DR. MARC D BIEDERMANN (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARC D BIEDERMANN (M.D.) associated with Antigo?
Public fields place DR. MARC D BIEDERMANN (M.D.) around Antigo, Wisconsin. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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