KENNETH J HEIDLE (D.O.) – Emergency Medicine Physician, NPI 1083059604
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,297 EMERGENCY MEDICINE in WI
Provider Addresses for KENNETH J HEIDLE (D.O.)
6308 8th Ave
Kenosha, WI 531435031
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
232 W 25th St
Erie, PA 165440002
Phone: (814) 452-5000
Fax: (814) 452-5097
Type: Location
9555 76TH ST
PLEASANT PRAIRIE, WI 531581984
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
111 E WISCONSIN AVE STE 2000
MILWAUKEE, WI 532024809
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Urgo Medical North America, LLC ($19).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Urgo Medical North America, LLC | $19 |
| Organogenesis Inc. | $13 |
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: 2017-08-30
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 |
|---|---|---|---|---|
| I20170830000713 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 226 | 215 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 119 | 117 | $0 |
| 99291 | Critical care, first 30-74 minutes | 34 | 34 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 19 | 11 | $0 |
Insurance plans in this area (ZIP 53143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | IL | |
| Pulmonary Disease, Critical Care (Intensivists), Emergency Medicine | AL | |
| Emergency Medicine | WI |
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