Michael J. Heili, M.D.
NPI 1134142615ActiveIndividual· Surgery· Sheboygan, WI
Surgery (M.D.) in Sheboygan, Wisconsin, trained at University of Wisconsin School of Medicine (class of 1987). In 2024 Medicare paid $18,210 for 89 patients, and Part D covered 99 of their prescriptions, 60% of them generic.
Overview
| NPI | 1134142615 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Mar 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 30902 | WI |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 121 across 33 procedure codes |
| Paid by Medicare | $18,210 |
Part D prescriptions in 2024
| Prescriptions (claims) | 99 · 103 30-day fills |
|---|---|
| Patients | 91 |
| Total drug cost | $4,302 |
| Generic share | 60% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | General Surgery |
Medical group
- St Nicholas Hospital-Sisters of the Third Order of St FrancisSheboygan, WI · 178 clinicians
Hospital affiliation
- St Nicholas HospitalSheboygan, 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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