Heather L. Toth, MD
Pediatrics Physician · Milwaukee, WI
Heather L. Toth, MD is a pediatrics physician with a practice address in Milwaukee, Wisconsin, and NPI 1306897061, issued on May 15, 2006. Check the license (Wisconsin 44878, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Heather L. Toth
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 44878 WI
Self-reported in NPPES; status is on the state search - Practice location
- 9200 W Wisconsin Ave, Milwaukee, WI 53226
- Phone
- (414) 337-7050
- Enumerated
- May 15, 2006
- Record last updated
- Apr 9, 2024
- Fax
- (414) 805-0988
- Medicaid IDs
- 1306897061 WI
34628200 WI - Medicare enrollment
- Enrolled (PECOS I20050414001116); accepts Medicare assignment
- Medical or professional school
- University Of Wisconsin School Of Medicine, 2001
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 1,203 in Wisconsin → Look up another NPI →
Also registered at 9200 W Wisconsin Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Heather L. Toth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 44878Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
85% fewer Medicare Part D claims than the average pediatrics physician in 2024
57 Medicare Part D claims for 19 beneficiaries, against an average of 375 among the 5,609 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- The Medical College OF Wisconsin IncMilwaukee, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Heather L. Toth among 1,203 pediatrics physician records in Wisconsin
Heather L. Toth, MD is one of 1,203 pediatrics physician records with a practice address in Wisconsin. 20% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 49% newer
- In a Medicare fileYes · 20% of these records are
- In the CMS Doctors and Clinicians fileYes · 12% of these records are
- Graduated2001 · median 2012 among the 142 with a school on file
- Record last updated2024 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
232 pediatrics physician records list a practice address in Milwaukee
They are 232 of the 18,389 NPPES records with a practice address in Milwaukee, and 1,203 pediatrics physician records in Wisconsin.
All 1,203 in Wisconsin → Every provider in Milwaukee → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Ravit Boger, M.D.Milwaukee, WI 532261508822297
- Rosellen Choi, M.D.Milwaukee, WI 532261376537142
- Emily Densmore, MDMilwaukee, WI 532261144272485
- William Leach, M.D.Milwaukee, WI 532261124013891
- Matthew LevyMilwaukee, WI 532261366442196
- John Martin, M.D.Wauwatosa, WI 532261841257458
- Sheryl Moss, M.D.Wauwatosa, WI 532261174503841
- Timothy Richer, M.D.Wauwatosa, WI 532261609833904
Common questions
What is Heather L. Toth, MD's NPI number?
Heather L. Toth, MD's National Provider Identifier (NPI) is 1306897061, issued on May 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Heather L. Toth, MD located?
The NPPES record lists a practice address at 9200 W Wisconsin Ave, Milwaukee, WI, 53226. Phone: (414) 337-7050. Providers update this record themselves, so call before visiting.
How can I verify Heather L. Toth, MD's license?
NPPES lists Wisconsin license number 44878, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Heather L. Toth, MD prescribe under Medicare Part D?
In 2024, Heather L. Toth, MD had 57 Medicare Part D claims for 19 beneficiaries; the average among pediatrics physician prescribers was 375. Part D covers Medicare prescriptions only.
What is Heather L. Toth, MD's MIPS final score?
The 2023 MIPS final score is 80.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.