Heather E. Certain, MD
NPI 1104961465ActiveIndividual· Internal Medicine· Madison, WI
Internal Medicine (MD) in Madison, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2003). In 2024 Medicare paid $44,645 for 306 patients, and Part D covered 409 of their prescriptions, 84% of them generic.
Overview
| NPI | 1104961465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Jul 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 49386-20 | WI |
| Internal Medicine | 207R00000X | 49386 | WI |
| Hospitalist | 208M00000X | 49386-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 306 |
|---|---|
| Services billed | 649 across 8 procedure codes |
| Paid by Medicare | $44,645 |
Part D prescriptions in 2024
| Prescriptions (claims) | 409 · 455 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $36,897 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Internal Medicine |
Medical group
- Meriter Hospital IncMadison, WI · 122 clinicians
Hospital affiliations
- Unitypoint Health - MeriterMadison, WI
- University of Wi Hospitals & Clinics AuthorityMadison, 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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All 417 internal medicine physicians in Madison · All internal medicine physicians in Wisconsin