DR. HEATHER L TOTH MD
NPI 1306897061
Pediatrics in Milwaukee, WI
About Dr. Heather L Toth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER L TOTH MD (NPI 1306897061) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (44878) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Heather L Toth 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.
Areas of Expertise CMS Part B claims
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Froedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician 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.
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.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Heather Toth's NPI number?
The NPI number for Heather Toth is 1306897061. It was assigned to this individual provider in the NPPES registry on May 15, 2006. The provider is also known as Mrs. Heather L Festerling.
Where is Heather Toth located?
Heather Toth practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 337-7050.
What is Heather Toth's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Heather Toth enrolled in Medicare?
Yes. Heather Toth 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.
What insurance does Heather Toth accept?
Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Heather Toth 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 Heather Toth affiliated with any hospitals?
According to CMS data, Heather Toth is affiliated with Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Heather Toth was last updated on April 9, 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.
# Dr. Heather L Toth, MD · NPI 1306897061
Pediatrics physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1306897061 (Entity type: Individual)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 44878 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, Milwaukee, WI 53226-3522
- **Phone:** (414) 337-7050 · **Fax:** (414) 805-0988
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** April 9, 2024
- **Other identifiers:** Medicaid 1306897061 (WI); Other 007806261X; Medicaid 34628200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1306897061) · Data from the CMS NPPES public registry.