Doctor profile · Federal record
Dr. Alan Licup, MD
Surgery Physician (CMS: General Surgery) · Surgery Physician · Pleasant Prairie, WI
- NPI 1205048246
- Accepts Medicare
- 20 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12500 Aurora Dr
Pleasant Prairie, WI 53158
(262) 854-5000 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- October 7, 2025
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Wisconsin #66270-20 · Illinois #036128087
- Medicaid
- WI #100061195
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205048246. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
59
Distinct HCPCS
3
Medicare allowed
$5,913
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | 17 | $76 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $159 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 14 | 13 | $78 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 27. This provider delivers 2.2× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Alan Licup's medical specialty?
Dr. Alan Licup practices Surgery Physician in Pleasant Prairie, WI.
Where does Dr. Alan Licup practice?
Dr. Alan Licup practices at 12500 Aurora Dr, Pleasant Prairie, WI 53158. Office phone: 2628545000.
What is Dr. Alan Licup's NPI?
Dr. Alan Licup's National Provider Identifier (NPI) is 1205048246, issued by NPPES.
Does Dr. Alan Licup accept Medicare assignment?
Yes. Dr. Alan Licup accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Alan Licup commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); New patient office or other outpatient visit (HCPCS 99204); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.