DR. DORTHEA LORINE WHEELER MD, PHD
NPI 1043878705
Psychiatry & Neurology - Psychiatry in Madison, WI
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Dorthea Wheeler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53717
- Reassigned Medicare billing, Wisconsin enrollment
- 422 clinicians in this Medicare group
Cedar Rapids, IA 52402
- Reassigned Medicare billing, Iowa enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MADISON, WI 53718
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.
Which organizations bill Medicare for Dorthea Wheeler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorthea Wheeler reassigns Medicare benefits to 2 organizations: Group Health Cooperative Of South Central Wisconsin (Madison, WI) and Cedar Centre Psychiatric Group (Cedar Rapids, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dorthea Wheeler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dorthea Wheeler accept?
Health plans from Group Health Cooperative-SCW, MercyCare, MercyCare Health Plans and Quartz 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dorthea Lorine Wheeler, MD, PHD · NPI 1043878705
Psychiatry physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since May 29, 2019.
## Identity
- **NPI:** 1043878705 (Entity type: Individual)
- **Enumerated:** May 29, 2019
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD-50216 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 5249 E TERRACE DR, Madison, WI 53718-8339
- **Phone:** (608) 251-4156
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Group Health Cooperative Of South Central Wisconsin (NPI 1245260165, Madison, WI); Cedar Centre Psychiatric Group (NPI 1558338012, Cedar Rapids, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** College Of Physicians And Surgeons, class of 2019
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043878705) · Data from the CMS NPPES public registry.