Djerrick Cu Tan, M.D.
NPI 1124002654ActiveIndividual· Radiology, Diagnostic Radiology· Mequon, WI
Radiology, Diagnostic Radiology (M.D.) in Mequon, Wisconsin, trained at Indiana University School of Medicine (class of 1999). Medicare paid $87,768 for services to 2,065 patients in 2024.
Overview
| NPI | 1124002654 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 29, 2005 |
| Last updated in NPPES | Feb 23, 2026 |
| Certified by provider | Feb 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 47802 | WI |
| Radiology, Diagnostic Radiology | 2085R0202X | 1025471 | MA |
| Radiology, Diagnostic Radiology | 2085R0202X | MD20361 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (TN); Practitioner - Diagnostic Radiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,065 |
|---|---|
| Services billed | 7,459 across 132 procedure codes |
| Paid by Medicare | $87,768 |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Premier Radiology Wisconsin LLCMount Pleasant, WI · 106 clinicians
Hospital affiliations
- Ascension All Saints HospitalRacine, WI
- Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI
- Ascension Se Wisconsin HospitalMilwaukee, WI
- Ascension St Francis HospitalMilwaukee, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 diagnostic radiologists in Mequon · All diagnostic radiologists in Wisconsin