Kenneth Heidle, D.O.
NPI 1083059604 · Emergency Medicine Physician · Pleasant Prairie, WI
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Heidle, D.O. is a Emergency Medicine Physician provider in Pleasant Prairie, WI (NPI 1083059604).
Provider details
- NPI number
- 1083059604
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OT015080 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
428 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 247 | $165 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 73 | $114 |
| Critical Care, First 30-74 Minutes99291 | 61 | $202 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 29 | $63 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 18 | $57 |
Typical Medicare-allowed amounts for these services range $57–$202 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 35 | 34 |
| Prednisone | 26 | 25 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 19 | 19 |
| Ondansetronbrand: Ondansetron Odt | 15 | 15 |
| Azithromycin | 13 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 232 W 25th StErie, PA 16544-0002Phone: (814) 452-5000Fax: (814) 452-5097
- 6308 8th AveKenosha, WI 53143-5031Phone: (414) 290-6720Fax: (414) 290-6755
Registry dates
- Enumerated
- 2013-05-09
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Frequently asked questions
- What is Kenneth Heidle's NPI number?
- Kenneth Heidle's National Provider Identifier (NPI) is 1083059604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Heidle's specialty?
- Kenneth Heidle is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Heidle located?
- Kenneth Heidle's practice location on file with NPPES is 9555 76th St, Pleasant Prairie, WI 53158-1984.
- What is Kenneth Heidle's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Heidle is (414) 290-6720.
- Does Kenneth Heidle accept Medicare?
- Kenneth Heidle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Heidle's NPI active?
- Yes — Kenneth Heidle's NPI (1083059604) is active in the NPPES registry as of the last update on 2021-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.