HEIDI J TOTH PAC
NPI 1982635660
Physician Assistant in Milwaukee, WI

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
10625 W NORTH AVE, SUITE 102, MILWAUKEE, WI 53226(414) 877-5350(414) 877-5360 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Heidi J Toth Pac NPPES

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

HEIDI J TOTH PAC (NPI 1982635660) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (1296-023) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1982635660
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEIDI J TOTHCredential: PAC
Location Address10625 W NORTH AVE, SUITE 102Milwaukee, WI 53226-2315
Mailing Address10625 W North Ave, Suite 102Milwaukee, WI 53226-2315 · (414) 877-5350 · Fax (414) 877-5360
Fax(414) 877-5360
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 21, 2017
NPI 1982635660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1296-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10625 W NORTH AVE, Milwaukee, WI 53226

Other Identifiers 4

Medicare PIN025101940WI
Other909WI · Bcbs
Medicare UPINP08341WI
Medicaid42996000WI

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

Heidi J Toth Pac 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 ID9638136849
PECOS Enrollment IDI20041220000084
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.

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 53226 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.

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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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.

Chiropractor
10625 W NORTH AVE, SUITE 230
WAUWATOSA, WI 53226
Acupuncturist
10625 W NORTH AVE, SUITE 223
WAUWATOSA, WI 53226
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Emergency Medicine
10625 W NORTH AVE, SUITE 102
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE, SUITE 102
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Emergency Medicine
10625 W NORTH AVE, 102
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 Heidi Toth's NPI number?

The NPI number for Heidi Toth is 1982635660. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Heidi Toth located?

Heidi Toth practices at 10625 W North Ave Suite 102, Milwaukee, WI 53226. The listed phone number is (414) 877-5350.

What is Heidi Toth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heidi Toth enrolled in Medicare?

Yes. Heidi Toth 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 Heidi Toth accept?

Health plans from CareSource (Common Ground Healthcare) list Heidi Toth 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 Heidi Toth affiliated with any hospitals?

According to CMS data, Heidi Toth is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Toth was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.