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DR. DORTHEA LORINE WHEELER MD, PHD
NPI 1043878705
Psychiatry & Neurology - Psychiatry in Madison, WI

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment
5249 E TERRACE DR, MADISON, WI 53718(608) 251-4156 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dorthea Lorine Wheeler Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DORTHEA LORINE WHEELER MD, PHD (NPI 1043878705) is an individual psychiatry provider in Madison, Wisconsin, licensed in Iowa (MD-50216) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cedar Rapids, and is a graduate of College Of Physicians And Surgeons (iowa) (2019).

NPPES Registry Identity

NPI1043878705
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DORTHEA LORINE WHEELERCredential: MD, PHD
Location Address5249 E TERRACE DRMadison, WI 53718-8339
Mailing Address1265 John Q Hammons DrMadison, WI 53717-1921 · (608) 251-4156
Phone(608) 251-4156
Sole ProprietorNo
Medical School CMSCollege Of Physicians And Surgeons (iowa)Graduated 2019
Enumeration DateMay 29, 2019
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1043878705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IA · MD-50216✔ Licensed in WI · 87756-20✔ Licensed in IA · R-11583
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5249 E TERRACE DR, Madison, WI 53718
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Secondary Practice Location 1

Location 11730 1st Ave NECedar Rapids, IA 52402-5433 · Phone (319) 365-3993

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dorthea Lorine Wheeler Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698000792
PECOS Enrollment IDI20231107000526
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCIA ANGELA BOLLES PA-C
Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
MS. RABECCA CATHERINE COLE LCSW
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
DR. NORANN RICHARD PHD
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550
DANIELLE OGNO MS
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Dane County (608) 265-1650
LAUREN JERZAK FNP-BC, APNP
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 265-1200
MICHAEL N SKAREDOFF MD
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550
JANET LYNN KUNZ NP
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorthea Wheeler's NPI number?

The NPI number for Dorthea Wheeler is 1043878705. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Dorthea Wheeler located?

Dorthea Wheeler practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 251-4156.

What is Dorthea Wheeler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Dorthea Wheeler enrolled in Medicare?

Yes. Dorthea Wheeler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dorthea Wheeler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Dorthea Wheeler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dorthea Wheeler was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.