HEATHER MARIE METCALF
NPI 1508137076
Pediatrics in Madison, WI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heather Marie Metcalf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Heather Metcalf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 1,417 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 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.
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.
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.
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.
Which organizations bill Medicare for Heather Metcalf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Metcalf reassigns Medicare benefits to 2 organizations: Children's Hospital (Washington, DC) and Tidalhealth Specialty Care, LLC (Salisbury, MD). 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 Heather Metcalf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Metcalf accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, 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 10 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.
# Heather Marie Metcalf · NPI 1508137076
Pediatrics physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since January 15, 2012.
## Identity
- **NPI:** 1508137076 (Entity type: Individual)
- **Enumerated:** January 15, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 63846-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 202 S PARK ST, Madison, WI 53715-1507
- **Phone:** (608) 417-6236 · **Fax:** (608) 417-6377
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital (NPI 1780800128, Washington, DC); Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1508137076) · Data from the CMS NPPES public registry.