SARA ELIZABETH CREIGHTON M.D.
NPI 1629398169
Pediatrics - Pediatric Cardiology in Milwaukee, WI

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC CARDIOLOGY, MILWAUKEE, WI 53226(414) 266-6457(414) 266-3261 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2023, May 18, 2023, Aug 14, 2019 (3 updates tracked since 2019).

About Sara Elizabeth Creighton M.d. NPPES

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

SARA ELIZABETH CREIGHTON M.D. (NPI 1629398169) is an individual pediatric cardiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (62066) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629398169
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameSARA ELIZABETH CREIGHTONCredential: M.D.
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) 266-3261
Fax(414) 266-3261
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 7, 2010
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1629398169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in WI · 62066
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.
Also ListedPediatricsTaxonomy 208000000X · License 62066 (WI)
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Other Names 1

Former Name (1)Sara Elizabeth Burns

Secondary Practice Locations 3

Location 11506 S Oneida StAppleton, WI 54915-1305 · Phone (920) 730-7670
Location 2500 S Oakwood RdOshkosh, WI 54904-7944 · Phone (414) 266-6784
Location 32575 E Evergreen DriveAppleton, WI 54913-8904 · Phone (920) 969-5353 · Fax (414) 337-7201

Other Identifiers 1

Medicaid1629398169WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara Elizabeth Creighton 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 ID8628205390
PECOS Enrollment IDI20180410001606
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sara Creighton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 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.

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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Sara Creighton's NPI number?

The NPI number for Sara Creighton is 1629398169. It was assigned to this individual provider in the NPPES registry on June 7, 2010. The provider is also known as Sara Elizabeth Burns.

Where is Sara Creighton located?

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

What is Sara Creighton's specialty?

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

Is Sara Creighton enrolled in Medicare?

Yes. Sara Creighton 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.

Which organizations bill Medicare for Sara Creighton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Creighton reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Sara Creighton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Creighton accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and Network Health and 1 other insurer list Sara Creighton 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 Sara Creighton was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.