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LUCAS M BOEHM M.D.
NPI 1104288430
Plastic Surgery in Milwaukee, WI

Active since March 25, 2016PECOS Enrolled
6002 N PORT WASHINGTON RD, MILWAUKEE, WI 53217(414) 439-3000 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2024, Sep 17, 2024, Nov 19, 2019 and 1 more (4 updates tracked since 2016).

About Lucas M Boehm M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS M BOEHM M.D. (NPI 1104288430) is an individual plastic surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (68458-20) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104288430
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameLUCAS M BOEHMCredential: M.D.
Location Address6002 N PORT WASHINGTON RDMilwaukee, WI 53217-4524
Mailing AddressN86w14041 Beacon StMenomonee Falls, WI 53051-3246 · (414) 439-3000
Phone(414) 439-3000
Sole ProprietorNo
Enumeration DateMarch 25, 2016
Last NPPES UpdateJanuary 16, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1104288430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WI · 68458-20
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
6002 N PORT WASHINGTON RD, Milwaukee, WI 53217
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 454-5007 · Fax (920) 729-2384
Location 21818 N Meade StAppleton, WI 54911-3454 · Phone (920) 454-5007 · Fax (920) 729-2384
Location 31221 Phoenix St # 100Delavan, WI 53115-2340 · Phone (262) 288-2434

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas M Boehm M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lucas Boehm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cj Hussussian MD Sc
15 mi
Plastic Surgery
N4W22370 BLUEMOUND RD, SUITE 100
Waukesha, WI 53186
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
NPI 1831260405 (262) 970-5600
Thedacare, Incorporated
81 mi
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
NPI 1306959515 (920) 720-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY PETER BRUCE M.D.
Plastic Surgery
6002 N PORT WASHINGTON RD
GLENDALE, WI 53217
Milwaukee County (414) 439-3000
DR. MARK FRANCIS BLAKE M.D.
Plastic Surgery
6002 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
Milwaukee County (414) 963-0676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucas Boehm's NPI number?

The NPI number for Lucas Boehm is 1104288430. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Lucas Boehm located?

Lucas Boehm practices at 6002 N Port Washington Rd, Milwaukee, WI 53217. The listed phone number is (414) 439-3000.

What is Lucas Boehm's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Lucas Boehm enrolled in Medicare?

Yes. Lucas Boehm is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lucas Boehm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Boehm reassigns Medicare benefits to 2 organizations: Cj Hussussian MD Sc (Waukesha, WI) and Thedacare, Incorporated (Menasha, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucas Boehm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Boehm accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Lucas Boehm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lucas Boehm was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.