DR. SUSAN R FOERSTER MD
NPI 1215953450
Pediatrics - Pediatric Cardiology in Madison, WI

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1675 HIGHLAND AVE, MADISON, WI 53792(608) 263-6420 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Susan R Foerster Md NPPES

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

DR. SUSAN R FOERSTER MD (NPI 1215953450) is an individual pediatric cardiology provider in Madison, Wisconsin, licensed in Wisconsin (55104) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1215953450
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SUSAN R FOERSTERCredential: MD
Location Address1675 HIGHLAND AVEMadison, WI 53792-4874
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1215953450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in WI · 55104✔ Licensed in MO · 2004018042
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1675 HIGHLAND AVE, Madison, WI 53792

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-6000 · Fax (414) 805-6280

Other Identifiers 2

Medicaid209115104MO
Medicaid1215953450WI

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. Susan R Foerster Md 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 ID2062437338
PECOS Enrollment IDI20110131000304
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 Susan Foerster reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 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.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Registered Nurse (Lactation Consultant)
1675 HIGHLAND AVE
MADISON, WI 53792
Speech-Language Pathologist
1675 HIGHLAND AVE
MADISON, WI 53792
Registered Nurse
1675 HIGHLAND AVE
MADISON, WI 53792
Pediatrics (Pediatric Hematology-Oncology)
1675 HIGHLAND AVE
MADISON, WI 53792
Student in an Organized Health Care Education/Training Program
1675 HIGHLAND AVE
MADISON, WI 53792
Occupational Therapist
1675 HIGHLAND AVE
MADISON, WI 53792
Pharmacist (Pediatrics)
1675 HIGHLAND AVE
MADISON, WI 53792
Audiologist
1675 HIGHLAND AVE
MADISON, WI 53792

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 Susan Foerster's NPI number?

The NPI number for Susan Foerster is 1215953450. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Susan Foerster located?

Susan Foerster practices at 1675 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6420.

What is Susan Foerster's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Susan Foerster enrolled in Medicare?

Yes. Susan Foerster 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 Susan Foerster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Foerster reassigns Medicare benefits to 3 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, 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 Susan Foerster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Foerster accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Susan Foerster 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 Susan Foerster was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.