Eric Wideburg, D.O.
NPI 1679004469 · Diagnostic Radiology Physician · Waukesha, WI
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eric Wideburg, D.O. is a Diagnostic Radiology Physician provider in Waukesha, WI (NPI 1679004469).
Provider details
- NPI number
- 1679004469
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 72422-21 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 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
1,610 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) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 313 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 194 | $37 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 82 | $9 |
| Mri Scan of Brain Without Contrast70551 | 80 | $65 |
| Ct Scan of Blood Vessels of Head With Contrast70496 | 73 | $77 |
| Ct Scan of Blood Vessels of Neck With Contrast70498 | 68 | $73 |
Practice location
Mailing address
Additional practice locations (2)
- 8701 W Watertown Plank RdMilwaukee, WI 53226-3548Phone: (414) 955-4575Fax: (414) 955-6528
- 10945 N Port Washington Rd Ste 201Thiensville, WI 53092-5078Phone: (262) 292-3151Fax: (262) 643-4707
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Frequently asked questions
- What is Eric Wideburg's NPI number?
- Eric Wideburg's National Provider Identifier (NPI) is 1679004469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eric Wideburg's specialty?
- Eric Wideburg is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Eric Wideburg located?
- Eric Wideburg's practice location on file with NPPES is W231n1440 Corporate Ct, Waukesha, WI 53186-1303.
- What is Eric Wideburg's phone number?
- The practice phone number listed in the NPPES registry for Eric Wideburg is (262) 896-6000.
- Does Eric Wideburg accept Medicare?
- Eric Wideburg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eric Wideburg's NPI active?
- Yes — Eric Wideburg's NPI (1679004469) is active in the NPPES registry as of the last update on 2025-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.