DR. STEPHEN J HEANEY M.D.
Accepted Insurance for NPI 1477536282
Anesthesiology in Menomonee Falls, WI

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
W180N8085 TOWN HALL RD, DEPT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051(262) 251-1000 Get Directions

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Dr. Heaney take my insurance?

33 Wisconsin plans sold on HealthCare.gov for 2026 include Dr. Heaney, from CareSource (Common Ground Healthcare) and Network Health.

Call before you book: insurer directories can be out of date, so call the office at (262) 251-1000 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Wisconsin Medicaid ID; ask the office which Medicaid plans it takes.

33 plans · 44 plan IDs · 2026 plan year

Wisconsin plans 33 plans · 44 plan IDs

Plans sold to Wisconsin residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

CareSource (Common Ground Healthcare)

18 plans · EPO
Accepting new patients
CareSource (Common Ground Healthcare) Gold $0 DedEPOGold$087416WI0030005
CareSource (Common Ground Healthcare) Gold $0 Ded - Vision ExamEPOGold$087416WI0060025
CareSource (Common Ground Healthcare) Gold Standard $2000EPOGold$2,00087416WI0030043
CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision ExamEPOGold$2,00087416WI0060001
CareSource (Common Ground Healthcare) Gold $3300EPOGold$3,30087416WI0030017
CareSource (Common Ground Healthcare) Gold $3300 - Vision ExamEPOGold$3,30087416WI0060006
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx DedEPOSilver$4,70087416WI0030023
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision ExamEPOSilver$4,70087416WI0060012
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx DedEPOSilver$5,00087416WI0030047
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision ExamEPOSilver$5,00087416WI0060011
CareSource (Common Ground Healthcare) Silver Standard $6000EPOSilver$6,00087416WI0030042
CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision ExamEPOSilver$6,00087416WI0060002
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx DedEPOExpanded Bronze$087416WI0030003
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision ExamEPOExpanded Bronze$087416WI0060023
CareSource (Common Ground Healthcare) Bronze Standard $7500EPOExpanded Bronze$7,50087416WI0030041
CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision ExamEPOExpanded Bronze$7,50087416WI0060003
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)EPOExpanded Bronze$9,60087416WI0030027
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision ExamEPOExpanded Bronze$9,60087416WI0060015

Network Health

15 plans · HMO
Accepting new patients
Prestige Gold 50 + 1 Free PCP VisitHMOGold$1,00081413WI0480016
Prestige Gold 50 + Dental + Vision + 1 Free PCP VisitHMOGold$1,00081413WI0470016
Prestige Gold 50 + Dental + Vision+ 1 Free PCP VisitHMOGold$1,00081413WI0460016
Prestige Gold Essential + 3Free PCP VisitsHMOGold$1,75081413WI0480013
Prestige Gold Essential + Dental + Vision + 3 Free PCP VisitsHMOGold$1,75081413WI0460013
Prestige GoldHMOGold$2,00081413WI0480004
Prestige Silver Essential + 3 Free PCP VisitsHMOSilver$4,60081413WI0480011
Prestige Silver Essential + Dental + Vision + 3 Free PCP VisitsHMOSilver$4,60081413WI0460011
Prestige SilverHMOSilver$6,00081413WI0480003
Prestige Bronze $0 Medical DeductibleHMOExpanded Bronze$081413WI0480018
Prestige Bronze $0 Medical Deductible + Dental + VisionHMOExpanded Bronze$081413WI0470018
Prestige Bronze $0 Medical Deductible + Dental +VisionHMOExpanded Bronze$081413WI0460018
Prestige Bronze PlusHMOExpanded Bronze$7,50081413WI0480002
Prestige Bronze Essential + 3 Free PCP VisitsHMOExpanded Bronze$7,75081413WI0480008
Prestige Bronze Essential + Dental + Vision + 3 Free PCP VisitsHMOExpanded Bronze$7,75081413WI0460008

Questions about Dr. Heaney’s insurance

What insurance does Dr. Heaney take?

In Wisconsin, CareSource (Common Ground Healthcare) and Network Health include Dr. Heaney in 33 Marketplace plans for 2026. Call the office at (262) 251-1000 to confirm your plan before booking.

Is Dr. Heaney accepting new patients?

The insurers that list Dr. Heaney report that Dr. Heaney is accepting new patients. Call the office at (262) 251-1000 to confirm your plan before booking.

Do I need a referral to see Dr. Heaney?

Not under the Wisconsin plans that list Dr. Heaney: the 2026 plan files say a specialist referral is not required.

Does Dr. Heaney accept Medicare?

Yes. CMS files show Dr. Heaney accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.CareSource (Common Ground Healthcare): Oct 15, 2026
Network Health: Jan 12, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.