Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kenneth J Heidle, DO

Individual provider Emergency Medicine Physician · NPI 1083059604

Kenneth J Heidle, DO practises Emergency Medicine in Pleasant Prairie, Wisconsin. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2013, 13 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
13
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9555 76th St
Pleasant Prairie, WI 53158-1984
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 232 W 25th St, Erie, PA 16544-0002 — (814) 452-5000
  • 6308 8th Ave, Kenosha, WI 53143-5031 — (414) 290-6720

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 67107-21 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OT015080 (PA)

Record details

NPI number1083059604
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 9, 2013
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2013 (13 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of tissue 31 times · 74th percentile

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients393
Services billed 509 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Froedtert South Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 156 clinicians in the practice; 12 are shown here.

Other providers in Pleasant Prairie