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DR. JOHN G HEISDORF M.D.
NPI 1821071630
Anesthesiology in West Bend, WI

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095(262) 836-7060 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2019, Jan 8, 2019 (2 updates tracked since 2019).

About Dr. John G Heisdorf M.d. NPPES

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

DR. JOHN G HEISDORF M.D. (NPI 1821071630) is an individual anesthesiology provider in West Bend, Wisconsin, licensed in Wisconsin (34519-020) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of University Of Wisconsin School Of Medicine (1992).

NPPES Registry Identity

NPI1821071630
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JOHN G HEISDORFCredential: M.D.
Location Address3200 PLEASANT VALLEY RDWest Bend, WI 53095-9274
Mailing Address3200 Pleasant Valley RdWest Bend, WI 53095-9274 · (262) 836-7060
Phone(262) 836-7060
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1992
Enumeration DateNovember 25, 2005
Last NPPES UpdateJune 21, 20192 updates tracked since enumeration
✔ NPI 1821071630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WI · 34519-020
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3200 PLEASANT VALLEY RD, West Bend, WI 53095
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Other Identifiers 1

Medicaid1821071630WI

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. John G Heisdorf 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 ID6204829765
PECOS Enrollment IDI20061219000415
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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
22 services22 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

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.

ABDEL HAI ISMAIL ALQWASMI M.D
Internal Medicine (Hematology & Oncology)
3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095
Washington County (262) 836-7200
MARY OGNENOFF OTR
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 677-6805
MR. MATTHEW R MUELLER CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
CHRISTOPHER JON LEICHLITER M.D.
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-2400
JENNIFER ESSER REPPAS PA-C
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Durable Medical Equipment & Medical Supplies
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-3451
JANET GOLDMAN MD
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
KARI L CHAKRABARTI CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300

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 John Heisdorf's NPI number?

The NPI number for John Heisdorf is 1821071630. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is John Heisdorf located?

John Heisdorf practices at 3200 Pleasant Valley Rd, West Bend, WI 53095. The listed phone number is (262) 836-7060.

What is John Heisdorf's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is John Heisdorf enrolled in Medicare?

Yes. John Heisdorf 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.

Is John Heisdorf affiliated with any hospitals?

According to CMS data, John Heisdorf is affiliated with St Josephs Community Hospital West Bend.

When was this NPI record last updated?

The NPPES record for John Heisdorf was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.