Barbara Budimlija, PA
NPI 1205841012 · Physician Assistant · Wausau, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Barbara Budimlija, PA is a Physician Assistant provider in Wausau, WI (NPI 1205841012).
Provider details
- NPI number
- 1205841012
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 1372 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
121 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 78 | $52 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 22 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 21 | $62 |
Typical Medicare-allowed amounts for these services range $52–$77 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 165 | 54 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 109 | 29 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 85 | 15 |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 75 | 15 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 67 | 14 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 65 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$99 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2009-09-18
Frequently asked questions
- What is Barbara Budimlija's NPI number?
- Barbara Budimlija's National Provider Identifier (NPI) is 1205841012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Barbara Budimlija's specialty?
- Barbara Budimlija is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Barbara Budimlija located?
- Barbara Budimlija's practice location on file with NPPES is 425 Pine Ridge Blvd, Wausau, WI 54401-4123.
- What is Barbara Budimlija's phone number?
- The practice phone number listed in the NPPES registry for Barbara Budimlija is (715) 847-2480.
- Does Barbara Budimlija accept Medicare?
- Barbara Budimlija is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Barbara Budimlija's NPI active?
- Yes — Barbara Budimlija's NPI (1205841012) is active in the NPPES registry as of the last update on 2009-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.