Alan J. Licup, MD
NPI 1205048246ActiveIndividual· Surgery· Pleasant Prairie, WI
Surgery (MD) in Pleasant Prairie, Wisconsin, trained at University of Kansas School of Med (Kc/Wich/Sal) (class of 2006). Mostly services rather than prescriptions: Medicare paid $23,433 for 74 patients in 2024, with only 34 Part D claims.
Overview
| NPI | 1205048246 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 66270-20 | WI |
| Surgery | 208600000X | 036128087 | IL |
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 - General Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 150 across 30 procedure codes |
| Paid by Medicare | $23,433 |
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 45 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $691.80 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Kansas School of Med (Kc/Wich/Sal) |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | General Surgery |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliation
- Aurora Medical Center KenoshaKenosha, 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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