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BRADLEY C HERALY M.D.
NPI 1063730042
Internal Medicine - Hematology & Oncology in Green Bay, WI

Active since May 14, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1726 SHAWANO AVENUE, GREEN BAY ONCOLOGY, GREEN BAY, WI 54303(920) 884-3135 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bradley C Heraly M.d. NPPES

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

BRADLEY C HERALY M.D. (NPI 1063730042) is an individual hematology & oncology provider in Green Bay, Wisconsin, licensed in Wisconsin (57132-20) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Schoolcraft Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063730042
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameBRADLEY C HERALYCredential: M.D.
Location Address1726 SHAWANO AVENUE, GREEN BAY ONCOLOGYGreen Bay, WI 54303
Mailing Address1726 Shawano Avenue, Green Bay OncologyGreen Bay, WI 54303 · (920) 884-3135
Phone(920) 884-3135
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 14, 2010
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1063730042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WI · 57132-20
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1726 SHAWANO AVENUE, Green Bay, WI 54303
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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

Bradley C Heraly M.d. 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 ID1254552508
PECOS Enrollment IDI20141030000091, I20260130000417
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

4

Medicare enrollment records show Bradley Heraly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincent Hospital-Hospital Sisters-Third Order Of St. Francis
Same address
Hematology & Oncology
1726 SHAWANO AVE
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 79 clinicians in this Medicare group
NPI 1184004236 (920) 498-4200
Ascension NE Wisconsin, Inc
26 mi
General Acute Care Hospital
1506 S ONEIDA ST
Appleton, WI 54915
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
NPI 1407803638 (920) 738-2000
Ascension Calumet Hospital, Inc
42 mi
Critical Access
614 MEMORIAL DR
Chilton, WI 53014
  • Reassigned Medicare billing, Wisconsin enrollment
  • 91 clinicians in this Medicare group
NPI 1376541748 (920) 849-2386
Osf Multi-Specialty Group
271 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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 7

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
173 services78 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Schoolcraft Memorial Hospital

Critical Access Hospitals · Manistique, MI
OwnershipGovernment - Local
CMS Certification Number231303
Location7870W Us Highway 2Manistique, MI 49854 · Schoolcraft County
Emergency services

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521317
Location614 Memorial DriveChilton, WI 53014 · Calumet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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 Bradley Heraly's NPI number?

The NPI number for Bradley Heraly is 1063730042. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Bradley Heraly located?

Bradley Heraly practices at 1726 Shawano Avenue Green Bay Oncology, Green Bay, WI 54303. The listed phone number is (920) 884-3135.

What is Bradley Heraly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Bradley Heraly enrolled in Medicare?

Yes. Bradley Heraly 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 Bradley Heraly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Heraly reassigns Medicare benefits to 4 organizations: St. Vincent Hospital-Hospital Sisters-Third Order Of St. Francis (Green Bay, WI), Ascension NE Wisconsin, Inc (Appleton, WI), Ascension Calumet Hospital, Inc (Chilton, WI) and Osf Multi-Specialty Group (Peoria, IL). 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 Bradley Heraly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Heraly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Dean Health Plan and Network Health list Bradley Heraly 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.

Is Bradley Heraly affiliated with any hospitals?

According to CMS data, Bradley Heraly is affiliated with Schoolcraft Memorial Hospital, Osf St Francis Hospital And Medical Group, Ascension NE Wisconsin - St Elizabeth Campus and Ascension Calumet Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Heraly was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.