Alan J. Licup, MD
Surgery Physician · Pleasant Prairie, WI
Alan J. Licup, MD is a surgery physician with a practice address in Pleasant Prairie, Wisconsin, and NPI 1205048246, issued on May 3, 2007. Check the license (Wisconsin 66270-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Alan J. Licup
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- 66270-20 WI
036128087 IL
Self-reported in NPPES; status is on the state search - Practice location
- 12500 Aurora Dr, Pleasant Prairie, WI 53158
- Phone
- (262) 854-5000
- Enumerated
- May 3, 2007
- Record last updated
- Oct 7, 2025
- Medicaid ID
- 100061195 WI
- Medicare enrollment
- Enrolled (PECOS I20161004002703); accepts Medicare assignment
- Medical or professional school
- University Of Kansas School Of Med (Kc/Wich/Sal), 2006
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 726 in Wisconsin → Look up another NPI →
Also registered at 12500 Aurora Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Frederick AntwiNurse Practitioner1215566435
- Allison Bellford, PT, DPTPhysical Therapist1538626502
- Emily Benitez, PTPhysical Therapist1508615956
- Emily Bohman, PTPhysical Therapist1225728264
- Joanne Cain, OTROccupational Therapist1982814174
- Amanda Clough-Knapp, OTOccupational Therapist1275938474
Verify Alan J. Licup in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 66270-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
77% fewer Medicare Part D claims than the average surgery physician in 2024
34 Medicare Part D claims for 15 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Aurora Medical Group, Inc.Kenosha, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Alan J. Licup among 726 surgery physician records in Wisconsin
Alan J. Licup, MD is one of 726 surgery physician records with a practice address in Wisconsin. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 48% of them.
- NPI issued2007 · 48% of these records are older, 45% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2006 · median 2006 among the 446 with a school on file
- Record last updated2025 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 surgery physician records list a practice address in Pleasant Prairie
They are 4 of the 307 NPPES records with a practice address in Pleasant Prairie, and 726 surgery physician records in Wisconsin.
All 726 in Wisconsin → Every provider in Pleasant Prairie → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Majed Jandali, MDPleasant Prairie, WI 531581679635171
- Markian Kuzycz, MDPleasant Prairie, WI 531581083721526
- David Needle, MDPleasant Prairie, WI 531581629185061
- Dennis Vincent, MDNew Berlin, WI 531511386835080
- James Greenberg, M.D.Lake Geneva, WI 531471164412136
- Dmitry Pasikhov, MDLake Geneva, WI 531471780791012
- Juanilito Seldera, MDLake Geneva, WI 531471750498945
- Emily Wilczak, M.D.Lake Geneva, WI 531471386969400
Common questions
What is Alan J. Licup, MD's NPI number?
Alan J. Licup, MD's National Provider Identifier (NPI) is 1205048246, issued on May 3, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Alan J. Licup, MD located?
The NPPES record lists a practice address at 12500 Aurora Dr, Pleasant Prairie, WI, 53158. Phone: (262) 854-5000. Providers update this record themselves, so call before visiting.
How can I verify Alan J. Licup, MD's license?
NPPES lists Wisconsin license number 66270-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Alan J. Licup, MD prescribe under Medicare Part D?
In 2024, Alan J. Licup, MD had 34 Medicare Part D claims for 15 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.