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HEATHER DAWN TILLER M.D.
NPI 1053501775
Emergency Medicine in Madison, WI

Active since July 30, 2007PECOS Enrolled
95.03/100
CMS Quality Rating
1504 EDGEHILL DR, MADISON, WI 53705(414) 333-1238 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather Dawn Tiller M.d. NPPES

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

HEATHER DAWN TILLER M.D. (NPI 1053501775) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (54123) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053501775
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameHEATHER DAWN TILLERCredential: M.D.
Location Address1504 EDGEHILL DRMadison, WI 53705-1449
Mailing Address1504 Edgehill DrMadison, WI 53705-1449
Phone(414) 333-1238
Sole ProprietorNo
Enumeration DateJuly 30, 2007
Last NPPES UpdateOctober 31, 2016
✔ NPI 1053501775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 54123✔ Licensed in CT · 045567✔ Licensed in NY · 248348
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1504 EDGEHILL DR, Madison, WI 53705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Dawn Tiller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Tiller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Emergency Physicians, Sc
2.9 mi
Emergency Medicine
700 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 103 clinicians in this Medicare group
NPI 1588646095 (608) 258-6100
Prairie Ridge Health, Inc.
27 mi
Critical Access
1515 PARK AVE
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • 132 clinicians in this Medicare group
NPI 1841376183 (920) 623-2200
Upland Hills Health, Inc.
36 mi
Critical Access
800 COMPASSION WAY
Dodgeville, WI 53533
  • Reassigned Medicare billing, Wisconsin enrollment
  • 130 clinicians in this Medicare group
NPI 1487745501 (608) 930-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
228 services225 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
165 services160 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Improvement Activities40
Cost82.55

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 Heather Tiller's NPI number?

The NPI number for Heather Tiller is 1053501775. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Heather Tiller located?

Heather Tiller practices at 1504 Edgehill Dr, Madison, WI 53705. The listed phone number is (414) 333-1238.

What is Heather Tiller's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Heather Tiller enrolled in Medicare?

Yes. Heather Tiller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Tiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Tiller reassigns Medicare benefits to 3 organizations: Madison Emergency Physicians, Sc (Madison, WI), Prairie Ridge Health, Inc. (Columbus, WI) and Upland Hills Health, Inc. (Dodgeville, WI). 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 Heather Tiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Tiller accept?

Health plans from Anthem Blue Cross and Blue Shield list Heather Tiller 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 Heather Tiller was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.