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DR. PETER C FROMMELT MD
NPI 1508817461
Pediatrics - Pediatric Cardiology in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC CARDIOLOGY, MILWAUKEE, WI 53226(414) 266-6457(414) 266-2294 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Peter C Frommelt Md NPPES

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

DR. PETER C FROMMELT MD (NPI 1508817461) is an individual pediatric cardiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (32188) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Childrens Hospital Of Wisconsin, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1985).

NPPES Registry Identity

NPI1508817461
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. PETER C FROMMELTCredential: MD
Location Address9000 W WISCONSIN AVE, PEDIATRIC CARDIOLOGYMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric CardiologyMilwaukee, WI 53226-4874 · (414) 266-6457 · Fax (414) 266-2294
Phone(414) 266-6457
Fax(414) 266-2294
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1985
Enumeration DateMay 15, 2006
Last NPPES UpdateMarch 8, 2013
✔ NPI 1508817461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in WI · 32188
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

9000 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN051A 73-601WI
Medicaid1508817461WI
Medicare PIN680860492WI
Other002000116QHumana
Medicare UPINE95165

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 and accepts Medicare assignment

Dr. Peter C Frommelt 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.

PECOS PAC ID4789627514
PECOS Enrollment IDI20050602001089
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.

Areas of Expertise CMS Part B claims 3

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.

Ultrasound of heart for congenital defect 93303
An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.
14 services14 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
14 services14 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Childrens Hospital Of Wisconsin

Childrens · Milwaukee, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number523300
Location9000 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

CRAIG C PORTER MD
Pediatrics (Pediatric Nephrology)
9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7702
ANGELA MARIE PICKART MS
Genetic Counselor, MS
9000 W WISCONSIN AVE, MS 716
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2910
DR. SRIDHAR RAO M.D., PH.D.
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2420
DR. KEVIN J KELLY MD
Pediatrics (Pediatric Allergy/Immunology)
9000 W WISCONSIN AVE, PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 607-5280
MR. ROGER D. COHEN M.D.
Surgery (Pediatric Surgery)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. BRUCE M CAMITTA MD
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Milwaukee County (414) 456-4170
DR. CHERYL A MUSZYNSKI MD
Neurological Surgery
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. JENNIFER L FREETO MD
Hospitalist
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666

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 Peter Frommelt's NPI number?

The NPI number for Peter Frommelt is 1508817461. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Peter Frommelt located?

Peter Frommelt practices at 9000 W Wisconsin Ave Pediatric Cardiology, Milwaukee, WI 53226. The listed phone number is (414) 266-6457.

What is Peter Frommelt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Peter Frommelt enrolled in Medicare?

Yes. Peter Frommelt 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 Peter Frommelt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Peter Frommelt 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 Peter Frommelt affiliated with any hospitals?

According to CMS data, Peter Frommelt is affiliated with Childrens Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Peter Frommelt was last updated on March 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.