Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306897061 Individual Practitioner Female Practitioner

Dr. Heather L Toth , MD

Pediatrics • Milwaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heather Toth, MD is a certified Pediatrics practicing in Milwaukee, WI. With approximately 25 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2001, Dr. Toth delivers high-quality medical care to the local community at 9200 W WISCONSIN AVE.

Dr. Toth is affiliated with The Medical College Of Wisconsin Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hospital discharge day management, more than, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9200 W Wisconsin Ave

Milwaukee, WI 532263522

Telephone 4143377050
Fax 4148050988
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Milwaukee, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +12.2 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
237 Specialists

Practicing in Milwaukee, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Toth (25 Years) 25 Yrs
Milwaukee Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99239 Hospital discharge day management, more than 30 minutes
11 11 $709.00 $106.81

Medical Specialties & State Licenses

CMS Verified: 2024-04-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 44878

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WI 44878

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.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License WI 44878

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WI 44878

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1306897061 (WI)
Medicaid State Provider ID
34628200 (WI)
Commercial Insurance / Payer ID Humana
007806261X

Hospital & Practice Group Affiliations

The Medical College Of Wisconsin Inc

8701 W Watertown Plank, Milwaukee, WI 532263548

Phone: 4148053666

The Medical College Of Wisconsin Inc

8701 Watertown Plank Rd, Milwaukee, WI 532263548

Phone: 4148053666

Secondary Practice Locations

9000 W Wisconsin Ave, C560

Milwaukee, WI 532264874

Phone: 4143377050

9000 W Wisconsin Ave

Milwaukee, WI 532264874

Phone: 4142662873

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003279449

Doctor of Medicine (M.D.)

NPI 1023250677

Doctor of Medicine (M.D.)

Alexis Sover , PA-C

Physician Assistant

NPI 1083272058

Physician Assistant (Certified)

Sarah Bauer

Pediatrics

NPI 1124360219
NPI 1124384391

Doctor of Medicine (M.D.)

Susan Thompson , NP

Nurse Practitioner - Family

NPI 1134420094

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2017

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: (414) 805-0918)

📍
Updated Business Mailing Address September 22, 2017

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: (414) 805-0918)

👤
Provider Name / Credentials Updated September 22, 2017

Recorded as HEATHER TOTH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Internal Medicine (License #44878 in WI)

NPI Profile Active September 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2011

Registered at 9000 W WISCONSIN AVE, C560, MILWAUKEE, WI 532264874 (Tel: 4143377050)

📍
Updated Business Mailing Address September 02, 2011

Registered at 9000 W WISCONSIN AVE, C560, MILWAUKEE, WI 532264874 (Tel: 4143377050)

👤
Provider Name / Credentials Updated September 02, 2011

Recorded as HEATHER TOTH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2011

Internal Medicine (License #44878 in WI)

🟢
Initial NPI Registration & Enumeration May 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306897061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2006
Last Update: April 09, 2024
Sole Proprietor: No

Mailing Address

9200 W Wisconsin Ave

Milwaukee, WI 532263522

Phone: 4143377050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.