DR. GREGORY MARK HEIDEMAN M.D.
NPI 1295820546
Radiology - Diagnostic Radiology in St Francis, WI
About Dr. Gregory Mark Heideman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GREGORY MARK HEIDEMAN M.D. (NPI 1295820546) is an individual diagnostic radiology provider in St Francis, Wisconsin, licensed in Wisconsin (49522-020) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of University Of Wisconsin School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Gregory Mark Heideman 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.
Medicare Billing Reassignments
5Medicare enrollment records show Gregory Heideman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 297 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Two Rivers, WI 54241
- Reassigned Medicare billing, Wisconsin enrollment
- 55 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.
Areas of Expertise CMS Part B claims 27
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Health Care Central Inc
Acute Care Hospitals · Sheboygan, WIAurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIWest Allis Memorial Hospital
Acute Care Hospitals · West Allis, WIAurora Medical Center Kenosha
Acute Care Hospitals · Kenosha, WIAurora Medical Center
Acute Care Hospitals · Grafton, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST FRANCIS, WI 53235
SAINT FRANCIS, WI 53235
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 Gregory Heideman's NPI number?
The NPI number for Gregory Heideman is 1295820546. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Gregory Heideman located?
Gregory Heideman practices at 2000 E Layton Ave, St Francis, WI 53235. The listed phone number is (414) 744-6589.
What is Gregory Heideman's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Gregory Heideman enrolled in Medicare?
Yes. Gregory Heideman 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 Gregory Heideman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Heideman reassigns Medicare benefits to 5 organizations: Lakeshore Medical Clinic, LLC (Saint Francis, WI), Aurora Health Care Metro, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI) and Aurora Health Care North, Inc. (Two Rivers, 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 Gregory Heideman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gregory Heideman accept?
Health plans from CareSource (Common Ground Healthcare) list Gregory Heideman 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 Gregory Heideman affiliated with any hospitals?
According to CMS data, Gregory Heideman is affiliated with Aurora Health Care Central Inc, Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center Kenosha and Aurora Medical Center.
When was this NPI record last updated?
The NPPES record for Gregory Heideman was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.