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DR. GREG HEAL M.D.
NPI 1609802776
Obstetrics & Gynecology in Waukesha, WI

Active since June 23, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 52D0886038 · Microscopy
N4W22370 BLUEMOUND ROAD, SUITE 100, WAUKESHA, WI 53186(262) 547-0199(262) 547-0399 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Greg Heal M.d. NPPES

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

DR. GREG HEAL M.D. (NPI 1609802776) is an individual obstetrics & gynecology provider in Waukesha, Wisconsin, licensed in Wisconsin (31554) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2027, and is affiliated with Ascension Se Wisconsin Hospital.

NPPES Registry Identity

NPI1609802776
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. GREG HEALCredential: M.D.
Location AddressN4W22370 BLUEMOUND ROAD, SUITE 100Waukesha, WI 53186
Mailing AddressN4w22370 Bluemound Road, Suite 100Waukesha, WI 53186 · (262) 547-0199 · Fax (262) 547-0399
Phone(262) 547-0199
Fax(262) 547-0399
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateJune 23, 2006
Last NPPES UpdateFebruary 2, 2016
✔ NPI 1609802776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 31554
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
N4W22370 BLUEMOUND ROAD, Waukesha, WI 53186
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Other Identifiers 3

Medicaid31938700WI
Medicare UPINF63575WI
Medicare ID-Type Unspecified68631WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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. Greg Heal M.d. 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 ID345299004
PECOS Enrollment IDI20050120000007
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0886038

Greg Heal, MD · Delafield, WI
Active · expires Aug 31, 2027
CLIA Number52D0886038
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. Greg Heal
Laboratory Phone(262) 547-0199
Laboratory LocationGreg Heal, MD400 Genesee Street Suite 3E, Delafield, WI 53018
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Greg Heal's NPI number?

The NPI number for Greg Heal is 1609802776. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Greg Heal located?

Greg Heal practices at N4w22370 Bluemound Road Suite 100, Waukesha, WI 53186. The listed phone number is (262) 547-0199.

What is Greg Heal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Greg Heal enrolled in Medicare?

Yes. Greg Heal 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.

Does Greg Heal hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0886038) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greg Heal accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Greg Heal 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 Greg Heal affiliated with any hospitals?

According to CMS data, Greg Heal is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Greg Heal was last updated on February 2, 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.