DR. KENNETH SCOTT HEERINGA (DO) – Anesthesiology Physician, NPI 1972582567
Anesthesiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,266 ANESTHESIOLOGY in WI
Provider Addresses for DR. KENNETH SCOTT HEERINGA (DO)
10400 75th St
Kenosha, WI 531427884
Phone: (262) 948-5600
Type: Location
515 22nd Ave
Monroe, WI 535661569
Phone: (608) 324-1000
Type: Location
3400 E Racine St
Janesville, WI 535462344
Phone: (608) 373-8000
Fax: (608) 373-8795
Type: Location
3333, Evergreen Drive Northeast, Evergreen Lake Office Park, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495259756
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Mailing
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-04-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $19 |
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: 2023-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101208000305 | I | Anesthesiology | MI | TBD |
| I20230127001147 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 17 | 17 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 11 | 11 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 53142)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Clinical Psychologist | WI | |
| - | WI | |
| P A T H O L O G Y | IL | |
| - | LA | |
| Emergency Medicine | WI | |
| A N E S T H E S I O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WI |
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