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HEATHER MARIE METCALF
NPI 1508137076
Pediatrics in Madison, WI

Active since January 15, 2012PECOS Enrolled
202 S PARK ST, MADISON, WI 53715(608) 417-6236(608) 417-6377 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Marie Metcalf NPPES

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

HEATHER MARIE METCALF (NPI 1508137076) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (63846-20) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508137076
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHEATHER MARIE METCALF
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485
Phone(608) 417-6236
Fax(608) 417-6377
Sole ProprietorNo
Enumeration DateJanuary 15, 2012
Last NPPES UpdateNovember 3, 2016
✔ NPI 1508137076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 63846-20
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.
202 S PARK ST, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 Marie Metcalf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53715 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.

ASHLEY N BERKA NURSE PRACTITIONER
Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6667
BROOK INGEBRIGTSON APNP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PAUL LADWIG RN
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
DIXITA KAPPELL NP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
SUSAN R WILHELM PA-C
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Dane County (608) 417-5970
PETER GERARD PRYDE MD
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Dane County (608) 267-6676
SUSAN MENG PT
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
BRIAN DAVID GRIFFITH M.D.
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-5950

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 Metcalf's NPI number?

The NPI number for Heather Metcalf is 1508137076. It was assigned to this individual provider in the NPPES registry on January 15, 2012.

Where is Heather Metcalf located?

Heather Metcalf practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-6236.

What is Heather Metcalf's specialty?

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

Is Heather Metcalf enrolled in Medicare?

Yes. Heather Metcalf is registered in the Medicare PECOS enrollment system.

What insurance does Heather Metcalf accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Heather Metcalf 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 Heather Metcalf was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.