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LESLIE M HERTZ MD
NPI 1164566972
Pediatrics in Racine, WI

Active since February 16, 2007PECOS Enrolled
3807 SPRING ST, RACINE, WI 53405(262) 687-8282(262) 687-6737 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leslie M Hertz Md NPPES

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

LESLIE M HERTZ MD (NPI 1164566972) is an individual pediatrics provider in Racine, Wisconsin, licensed in Wisconsin (37663) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164566972
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLESLIE M HERTZCredential: MD
Location Address3807 SPRING STRacine, WI 53405-1667
Mailing Address3807 Spring StRacine, WI 53405-1667 · (262) 687-8282 · Fax (262) 687-6737
Phone(262) 687-8282
Fax(262) 687-6737
Sole ProprietorNo
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 27, 2019
✔ NPI 1164566972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 37663
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3807 SPRING ST, Racine, WI 53405
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Other Names 1

Former Name (1)Leslie M Fox Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie M Hertz Md 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 Reassignment

Medicare enrollment records show Leslie Hertz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Southeast Wisconsin Inc
23 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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 53405 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.

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.

JEFFREY NAUS MD
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282
CAMILLE A. PAQUETTE-SCHULGIT M.D.
Family Medicine
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173
LESLEY DELGADO M.D.
Pediatrics
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8282
SACHIN H. PANCHAL M.D.
Internal Medicine
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MS. LINDA M THOMSON RPH
Pharmacist
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8430
ASCENSION ALL SAINTS HOSPITAL, INC
Pharmacy (Community/Retail Pharmacy)
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8430
KYLIE S NORDNESS PA-C
Physician Assistant
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173
MARGARET M. HENNESSY M.D.
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282

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 Leslie Hertz's NPI number?

The NPI number for Leslie Hertz is 1164566972. It was assigned to this individual provider in the NPPES registry on February 16, 2007. The provider is also known as Leslie M Fox MD.

Where is Leslie Hertz located?

Leslie Hertz practices at 3807 Spring St, Racine, WI 53405. The listed phone number is (262) 687-8282.

What is Leslie Hertz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Leslie Hertz enrolled in Medicare?

Yes. Leslie Hertz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leslie Hertz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Hertz reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). The 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 Leslie Hertz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leslie Hertz was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.