HEATHER GLADFELTER MD
NPI 1265061378
Pediatrics in Milwaukee, WI

Q: What is Heather Gladfelter's NPI number?

The NPI number for Heather Gladfelter is 1265061378. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Heather Gladfelter's specialty?

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

Active since April 02, 2020PECOS Enrolled

9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-2000 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2025, Mar 19, 2025, May 27, 2022 and 1 more (4 updates tracked since 2020).

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About Heather Gladfelter Md NPPES

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

HEATHER GLADFELTER MD (NPI 1265061378) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (8356220) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265061378

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameHEATHER GLADFELTERCredential: MD

Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874

Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874

Phone(414) 266-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateMay 5, 20254 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1265061378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 8356220✔ Licensed in MI · 4351046486

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9000 W WISCONSIN AVE, Milwaukee, WI 53226

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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, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Gladfelter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961826334

PECOS Enrollment IDI20251030003226

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

MS. LESLIE L. TALBERT NP

Nurse Practitioner (Pediatrics)

9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226

Milwaukee County (414) 266-3360

SARAH MARIE RUMLER DO

Pediatrics (Pediatric Hematology-Oncology)