Michael J. Heili, M.D.
Surgery Physician · Sheboygan, WI
Michael J. Heili, M.D. is a surgery physician with a practice address in Sheboygan, Wisconsin, and NPI 1134142615, issued on Jul 25, 2006. Check the license (Wisconsin 30902, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Michael J. Heili
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 30902 WI
Self-reported in NPPES; status is on the state search - Practice location
- 2920 Superior Ave, Sheboygan, WI 53081
- Phone
- (920) 496-4700
- Enumerated
- Jul 25, 2006
- Record last updated
- Mar 23, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (920) 458-3163
- Medicaid ID
- 34925300 WI
- Medicare enrollment
- Enrolled (PECOS I20070910000076); accepts Medicare assignment
- Medical or professional school
- University Of Wisconsin School Of Medicine, 1987
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 726 in Wisconsin → Look up another NPI →
Also registered at 2920 Superior Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Allison Allen, D.P.T.Physical Therapist1659691061
- Nicholas Barnes, DOInternal Medicine Physician1578531976
- Jenny Brault, MDPediatrics Physician1801847074
- Kristen Brazzale, APNPNurse Practitioner1851321483
- Theresa Brosnan Schuler, NPNurse Practitioner1780635151
- Jacqueline Caelwarts, PA-CSurgical Physician Assistant1235622523
Verify Michael J. Heili in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 30902Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
33% fewer Medicare Part D claims than the average surgery physician in 2024
99 Medicare Part D claims for 91 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 40% of claims.
Most prescribed
- Peg 3350-Electrolyte44 claims
- Sod Sulf-Potass Sulf-Mag Sulf16 claims
- Sutab12 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 MIPS final score for 2023 (Medicare payment program): 94.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- St. Nicholas Hospital-Sisters OF The Third Order OF St FrancisSheboygan, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael J. Heili among 726 surgery physician records in Wisconsin
Michael J. Heili, M.D. is one of 726 surgery physician records with a practice address in Wisconsin. 72% 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 12% of them.
- NPI issued2006 · 12% of these records are older, 52% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1987 · median 2006 among the 446 with a school on file
- Record last updated2015 · 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 208600000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Wisconsin
There are 726 surgery physician records in Wisconsin.
All 726 in Wisconsin → Every provider in Sheboygan → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- William Chleborad, MDSheboygan, WI 530811851300982
- Nicholas Draeger, D.O.Sheboygan, WI 530811902031909
- Badri Ganju, MDSheboygan, WI 530811154436244
- Emiko Hayakawa, M.D.Sheboygan, WI 530811982042297
- Brian Obrochta, D.O.Sheboygan, WI 530811912136656
- William Ritt, D.O.Sheboygan, WI 530811811283526
- Abdelouahid Souala, MDSheboygan, WI 530811033600721
- Stephen Werner, M.D.Sheboygan, WI 530811295703635
Common questions
What is Michael J. Heili, M.D.'s NPI number?
Michael J. Heili, M.D.'s National Provider Identifier (NPI) is 1134142615, issued on Jul 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Michael J. Heili, M.D. located?
The NPPES record lists a practice address at 2920 Superior Ave, Sheboygan, WI, 53081. Phone: (920) 496-4700. Providers update this record themselves, so call before visiting.
How can I verify Michael J. Heili, M.D.'s license?
NPPES lists Wisconsin license number 30902, 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 Michael J. Heili, M.D. prescribe under Medicare Part D?
In 2024, Michael J. Heili, M.D. had 99 Medicare Part D claims for 91 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Michael J. Heili, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.6 of 100. 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.