Heather Toth, MD
NPI 1306897061 · Pediatrics Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Toth, MD is a Pediatrics Physician provider in Milwaukee, WI (NPI 1306897061).
Provider details
- NPI number
- 1306897061
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 44878 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
20 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
11 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) |
|---|---|---|
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 11 | $107 |
Typical Medicare-allowed amounts for these services range $107–$107 (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.
Practice location
Mailing address
Additional practice locations (2)
- 9000 W Wisconsin AveMilwaukee, WI 53226-4874Phone: (414) 266-2873Fax: (414) 266-3905
- 9000 W Wisconsin AveC560Milwaukee, WI 53226-4874Phone: (414) 337-7050Fax: (414) 337-7020
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Frequently asked questions
- What is Heather Toth's NPI number?
- Heather Toth's National Provider Identifier (NPI) is 1306897061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Toth's specialty?
- Heather Toth is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Toth located?
- Heather Toth's practice location on file with NPPES is 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522.
- What is Heather Toth's phone number?
- The practice phone number listed in the NPPES registry for Heather Toth is (414) 337-7050.
- Does Heather Toth accept Medicare?
- Heather Toth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Toth's NPI active?
- Yes — Heather Toth's NPI (1306897061) is active in the NPPES registry as of the last update on 2024-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.