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KELLY BETH HEIDLE D.O.
NPI 1992044846
Internal Medicine in Kenosha, WI

Active since February 12, 2013PECOS EnrolledAccepts Medicare Assignment
6308 8TH AVE, KENOSHA, WI 53143(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2021, Mar 17, 2018, Jul 17, 2017 and 1 more (4 updates tracked since 2017).

About Kelly Beth Heidle D.o. NPPES

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

KELLY BETH HEIDLE D.O. (NPI 1992044846) is an individual internal medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (67122-21) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2013).

NPPES Registry Identity

NPI1992044846
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLY BETH HEIDLECredential: D.O.
Location Address6308 8TH AVEKenosha, WI 53143-5031
Mailing Address111 E Wisconsin Ave Ste 2000Milwaukee, WI 53202-4809 · (414) 290-6720 · Fax (414) 290-6755
Phone(414) 290-6720
Fax(414) 290-6755
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2013
Enumeration DateFebruary 12, 2013
Last NPPES UpdateDecember 28, 20214 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1992044846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 67122-21✔ Licensed in PA · OS018162
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6308 8TH AVE, Kenosha, WI 53143
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Other Names 1

Former Name (1)Kelly Beth Samartino D.o.

Other Identifiers 3

Other0182229PA · Ohio Medicaid
Medicaid1031239290001PA
Other003403181PA · Highmark Bcbs

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

Kelly Beth Heidle 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 ID2860783511
PECOS Enrollment IDI20170901000446
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
297 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
127 services122 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%151 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

GINA GAMBUCCI MS, LAT, ATC, OTC
Specialist/Technologist (Athletic Trainer)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
HANNA MARIANI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6308 8TH AVE, STE 3070
KENOSHA, WI 53143
Kenosha County (262) 656-3710
RAYMOND W KNIGHT MD
Internal Medicine (Hematology & Oncology)
6308 8TH AVE, STE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300
BRADLEY N. HAUGSTAD, M.D., S.C.
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2011
JIMALEEN DELABIO
General Acute Care Hospital
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-3290
KENOSHA VASCULAR LAB INC
Specialist
6308 8TH AVE, SUITE 301
KENOSHA, WI 53143
Kenosha County (262) 656-8265
MARK R VYTLACIL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6308 8TH AVE
KENOSHA, WI 53143
Kenosha County (262) 656-2943
MICHAEL H ZEIHEN MD
Internal Medicine
6308 8TH AVE, SUITE 2000
KENOSHA, WI 53143
Kenosha County (262) 653-5300

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 Kelly Heidle's NPI number?

The NPI number for Kelly Heidle is 1992044846. It was assigned to this individual provider in the NPPES registry on February 12, 2013. The provider is also known as Kelly Beth Samartino D.O..

Where is Kelly Heidle located?

Kelly Heidle practices at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (414) 290-6720.

What is Kelly Heidle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Heidle enrolled in Medicare?

Yes. Kelly Heidle 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 Kelly Heidle affiliated with any hospitals?

According to CMS data, Kelly Heidle is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Kelly Heidle was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.