NPPES file of Aug 9, 2026

Kenneth J. Heidle, D.O.

Emergency Medicine Physician · Pleasant Prairie, WI

Kenneth J. Heidle, D.O. is an emergency medicine physician with a practice address in Pleasant Prairie, Wisconsin, and NPI 1083059604, issued on May 9, 2013. Check the license (Wisconsin 67107-21, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083059604
Name
Kenneth J. Heidle
Credential
D.O.
Primary taxonomy
Emergency Medicine Physician 207P00000X
License numbers
67107-21 WI
OT015080 PA
Self-reported in NPPES; status is on the state search
Practice location
9555 76TH St, Pleasant Prairie, WI 53158
Phone
(414) 290-6720
Enumerated
May 9, 2013
Record last updated
Dec 28, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(414) 290-6755
Medicare enrollment
Enrolled (PECOS I20170830000713); accepts Medicare assignment
Medical or professional school
Lake Erie College Of Osteopathic Medicine, Erie, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 9555 76TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Renee Andrews, MS,RD,CDRegistered Dietitian1851060719
  2. Rachel Antony, PA-CPhysician Assistant1780177048
  3. David Banicki, FNP-CFamily Nurse Practitioner1962217125
  4. Timothy BerryPhysician Assistant1366332041
  5. John Budi, DOEmergency Medicine Physician1891050217
  6. Jelena Bugarin, PA-CPhysician Assistant1811511579

Verify Kenneth J. Heidle in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 67107-21
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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10% fewer Medicare Part D claims than the average emergency medicine physician in 2024

203 Medicare Part D claims for 140 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. 23 claims were for opioids.

  1. Kenneth Heidle203
  2. Specialty average226

Most prescribed

  1. Cephalexin35 claims
  2. Prednisone26 claims
  3. Hydrocodone-Acetaminophen19 claims
  4. Ondansetron Odt15 claims
  5. Azithromycin13 claims

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): 79.6 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.

  1. Qualityout of 100 · 30% of the final score70.9
  2. Costout of 100 · 30%61.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Froedtert South IncKenosha, WI
  2. Vituity-Wisconsin EM SCPleasant Prairie, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth J. Heidle among 1,464 emergency medicine physician records in Wisconsin

Kenneth J. Heidle, D.O. is one of 1,464 emergency medicine physician records with a practice address in Wisconsin. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 64% of them.

  • NPI issued2013 · 64% of these records are older, 33% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated2013 · median 2011 among the 844 with a school on file
  • Record last updated2021 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

6 emergency medicine physician records list a practice address in Pleasant Prairie

They are 6 of the 307 NPPES records with a practice address in Pleasant Prairie, and 1,464 emergency medicine physician records in Wisconsin.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. John Budi, DOPleasant Prairie, WI 531581891050217
  2. Grace Joseph, M.D.Pleasant Prairie, WI 531581245694090
  3. Gregory Rosen, M.D.Pleasant Prairie, WI 531581720300411
  4. Natalia Stasior, MDPleasant Prairie, WI 531581437538196
  5. Matthew Stauffer, MDPleasant Prairie, WI 531581497066732
  6. Nabila Quadri, M.D.Oak Creek, WI 531541124413935
  7. Craig Skold, MDOak Creek, WI 531541093810467
  8. Krystyna Abdulla, DONew Berlin, WI 531511205146578

Common questions

What is Kenneth J. Heidle, D.O.'s NPI number?

Kenneth J. Heidle, D.O.'s National Provider Identifier (NPI) is 1083059604, issued on May 9, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth J. Heidle, D.O. located?

The NPPES record lists a practice address at 9555 76TH St, Pleasant Prairie, WI, 53158. Phone: (414) 290-6720. Providers update this record themselves, so call before visiting.

How can I verify Kenneth J. Heidle, D.O.'s license?

NPPES lists Wisconsin license number 67107-21, 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 Kenneth J. Heidle, D.O. prescribe under Medicare Part D?

In 2024, Kenneth J. Heidle, D.O. had 203 Medicare Part D claims for 140 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Kenneth J. Heidle, D.O.'s MIPS final score?

The 2023 MIPS final score is 79.6 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.