Kenneth J. Heidle, D.O.
NPI 1083059604ActiveIndividual· Emergency Medicine· Pleasant Prairie, WI
Emergency Medicine (D.O.) in Pleasant Prairie, Wisconsin, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2013). 393 Medicare patients in 2024, $55,407 paid; nearly all of their 203 Part D prescriptions were generic (97%).
Overview
| NPI | 1083059604 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | May 9, 2013 |
| Last updated in NPPES | Dec 28, 2021 |
| Certified by provider | Dec 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 67107-21 | WI |
| Emergency Medicine | 207P00000X | OT015080 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 393 |
|---|---|
| Services billed | 509 across 35 procedure codes |
| Paid by Medicare | $55,407 |
Part D prescriptions in 2024
| Prescriptions (claims) | 203 · 203 30-day fills |
|---|---|
| Patients | 140 |
| Total drug cost | $2,704 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Froedtert South IncKenosha, WI · 161 clinicians
- Vituity-Wisconsin Em SCOconto Falls, WI · 56 clinicians
Hospital affiliation
- Froedtert South Inc.Kenosha, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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