ERIC WIDEBURG D.O.
NPI 1679004469
Radiology - Diagnostic Radiology in Waukesha, WI

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
W231N1440 CORPORATE CT, WAUKESHA, WI 53186(262) 896-6000 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Aug 15, 2023, Mar 23, 2017 (3 updates tracked since 2017).

About Eric Wideburg D.o. NPPES

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

ERIC WIDEBURG D.O. (NPI 1679004469) is an individual diagnostic radiology provider in Waukesha, Wisconsin, licensed in Wisconsin (72422-21) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679004469
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameERIC WIDEBURGCredential: D.O.
Location AddressW231N1440 CORPORATE CTWaukesha, WI 53186-1303
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1679004469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WI · 72422-21
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
W231N1440 CORPORATE CT, Waukesha, WI 53186

Secondary Practice Locations 2

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-4575 · Fax (414) 955-6528
Location 210945 N Port Washington Rd Ste 201Thiensville, WI 53092-5078 · Phone (262) 292-3151 · Fax (262) 643-4707

Other Identifiers 1

Medicaid100096055WI

Accepted 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

Eric Wideburg D.o. 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 ID7416301387
PECOS Enrollment IDI20230926002570
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 35

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
313 services303 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
194 services191 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
82 services82 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
80 services79 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
73 services72 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
68 services67 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee 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
$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
$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.

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
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Radiology (Vascular & Interventional Radiology)
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Specialist
W231N1440 CORPORATE CT, SUITE 307
WAUKESHA, WI 53186
Pediatrics
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Nurse Practitioner
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Occupational Therapist
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Family Medicine
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Obstetrics & Gynecology
W231N1440 CORPORATE CT
WAUKESHA, WI 53186

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 Eric Wideburg's NPI number?

The NPI number for Eric Wideburg is 1679004469. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Eric Wideburg located?

Eric Wideburg practices at W231n1440 Corporate Ct, Waukesha, WI 53186. The listed phone number is (262) 896-6000.

What is Eric Wideburg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Eric Wideburg enrolled in Medicare?

Yes. Eric Wideburg 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 Eric Wideburg accept?

Health plans from CareSource (Common Ground Healthcare) list Eric Wideburg 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 Eric Wideburg affiliated with any hospitals?

According to CMS data, Eric Wideburg is affiliated with Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center Kenosha, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Wideburg was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.