Dr. Heather E. Certain, MD
- Medicare services, 2024
- 633
- Medicare patients, 2024
- 306
- Part D claims, 2024
- 409
- MIPS score, 2024
- 88
- Hospital affiliations
- 2
- Practice address
- 202 S Park St, Madison, WI 53715
- Practice phone
- Call (608) 417-6210
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Certain's professional email, personal email and mobile number
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Dr. Heather E. Certain is an internist in Madison, Wisconsin
Dr. Certain practices at UnityPoint Health - Meriter in Madison, Wisconsin, part of UnityPoint Health.
Dr. Certain's NPI, 1104961465, was assigned on February 21, 2007. Dr. Certain graduated from University of Wisconsin School of Medicine in 2003. Dr. Certain holds Wisconsin license 49386-20.
- NPI
- 1104961465NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7911000179
- NPI enumeration date
- February 21, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (608) 417-6210
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 49
- Medical school graduation
- 2003
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Heather E. Certain practices at UnityPoint Health - Meriter in Madison, Wisconsin
Dr. Certain's primary practice is UnityPoint Health - Meriter, at 202 S Park St, Madison, WI 53715 in Dane County. The practice phone is (608) 417-6210.
- UnityPoint Health - Meriter202 S Park St, Madison, WI 53715 · Dane CountyPhone(608) 417-6210
Source: Dmand AI Affiliation Data
Dr. Heather E. Certain is affiliated with 3 sites of care and 1 medical group
Dr. Certain's primary practice is UnityPoint Health - Meriter in Madison, Wisconsin, part of UnityPoint Health. Dr. Certain is also affiliated with University Hospital. The medical group on file is UnityPoint Health, Meriter. Dmand AI also links Dr. Certain to 1 more hospital outpatient department, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Heather E. Certain's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Certain practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| UnityPoint Health - Meriter | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dmand AI maps EHR vendors, IT decision makers and buying committees across UnityPoint Health and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Heather E. Certain is one of 1,675 internists in Wisconsin
Internal medicine is Dr. Certain's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Certain is licensed in Wisconsin.
Specialties and state licenses
- Internal medicine, WisconsinPrimary
Internists near Dr. Certain
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Heather E. Certain billed Medicare for 633 services in 2024
CMS data shows 633 Medicare services from Dr. Certain across 7 procedure codes in 2024, for 306 Medicare patients. Medicare paid $43,230 for them.
Dr. Certain's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5792024: 6339%
Where Dr. Certain's Medicare services took place, 2024
- In an office356%
- In a facility59894%
Dr. Certain compared with the Wisconsin median for internists, 2024
- Dr. Certain
- Wisconsin median
- Medicare services
- 633vs 45739% above
- Medicare patients
- 306vs 19954% above
- Part D claims
- 138vs 43368% below
Medians across 1,658 internists in Wisconsin with Dmand AI profiles that report each measure.
Dr. Certain's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Heather E. Certain treated 306 Medicare patients in 2024, average age 77
CMS counts 306 Medicare patients who saw Dr. Certain in 2024. The largest group is 75 to 84, with 102 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 22% are also on Medicaid. Their average risk score is 2.58, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Certain's median patient age at 71, with 58% women.
Dr. Certain's Medicare patients by age, 2024
Dr. Certain's Medicare patients by sex, 2024
- Women16855%
- Men13845%
Chronic conditions among Dr. Certain's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis52%
- Heart failure49%
- Mood disorders48%
- Anxiety45%
- Chronic kidney disease44%
- Depression44%
Share of Medicare patients with each condition. A patient can have several.
Dr. Certain's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 71
Patient panel by sex, all payers
- Women58%
- Men42%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Heather E. Certain wrote 409 Medicare Part D claims in 2024
In 2024, Dr. Certain wrote 409 Medicare Part D claims for 130 patients. 84% of them were for generic drugs. CMS names the drug for 138 of them, across 8 drugs with 11 or more claims each, at $10,796 in total drug cost. In 2023, CMS named 116 claims across 6 drugs.
Dr. Certain's Part D claims by kind of drug, 2024
- Generic344 claims84%
- Brand-name and other65 claims16%
Dr. Certain's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Certain's Part D claims, 2024
- Opioids4%18 of 409 claims
- Antibiotics12%48 of 409 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1162024: 13819%
Drugs named by CMS: 8 in 2024, 6 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Heather E. Certain scored 88 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 88 out of 100 for Dr. Certain for performance year 2024, reported as part of a group. Dr. Certain accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Certain's MIPS scores, performance year 2024
- 88of 100Final score
- 84.6of 100Quality
- 91of 100Promoting Interoperability
- 40of 100Improvement Activities
- 82of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Heather E. Certain graduated from University of Wisconsin School of Medicine
Dr. Certain graduated from University of Wisconsin School of Medicine in 2003.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Heather E. Certain's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Heather E. Certain
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Heather E. Certain's NPI number?
Dr. Heather E. Certain's NPI number is 1104961465. It was assigned on February 21, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Heather E. Certain?
Dr. Heather E. Certain is an internist in Madison, Wisconsin. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Heather E. Certain practice?
Dr. Certain practices at 202 S Park St, Madison, WI 53715. Dr. Certain's primary practice is UnityPoint Health - Meriter in Madison, Wisconsin, part of UnityPoint Health. Dmand AI also links Dr. Certain to 1 hospital outpatient department.
What is Dr. Heather E. Certain's office phone number?
The practice phone on file for Dr. Certain is (608) 417-6210.
What is Dr. Heather E. Certain's medical license number?
Dr. Certain holds Wisconsin license 49386-20.
Which hospitals is Dr. Heather E. Certain affiliated with?
Dr. Certain practices at UnityPoint Health - Meriter in Madison, Wisconsin. Dr. Certain is also affiliated with University Hospital.
What medical group is Dr. Heather E. Certain part of?
Dr. Certain is linked to UnityPoint Health, Meriter.
Does Dr. Heather E. Certain accept Medicare?
Yes. CMS data shows Dr. Certain billed Medicare for 633 services in 2024, and Dr. Certain accepts Medicare assignment.
What is Dr. Heather E. Certain's MIPS score?
Dr. Certain's MIPS final score for performance year 2024 is 88 out of 100, reported as part of a group.
How many Medicare patients does Dr. Heather E. Certain see?
CMS counts 306 Medicare patients who saw Dr. Certain in 2024, with an average age of 77.
Show 4 more questionsShow fewer questions
What services does Dr. Heather E. Certain bill to Medicare?
In 2024, Dr. Certain's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99239) and hospital inpatient care (99233).
Where did Dr. Heather E. Certain go to medical school?
Dr. Certain graduated from University of Wisconsin School of Medicine in 2003.
What drugs does Dr. Heather E. Certain prescribe most?
In 2024 Medicare Part D data, Dr. Certain's most prescribed drugs by claims were Pantoprazole Sodium, Metoprolol Succinate and Furosemide.
How long has Dr. Heather E. Certain been practicing?
Dr. Certain graduated from medical school in 2003, 23 years ago.
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