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GREATER MILWAUKEE PLASTIC SURGEONS SC
NPI 1154389484
Specialist in Brookfield, WI

Active since May 03, 2006
13800 W NORTH AVENUE, SUITE 110, BROOKFIELD, WI 53005(262) 717-4000(262) 641-7435 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Greater Milwaukee Plastic Surgeons Sc NPPES

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

GREATER MILWAUKEE PLASTIC SURGEONS SC (NPI 1154389484) is a healthcare organization registered as a specialist in Brookfield, Wisconsin and active in the NPI registry since May 2006. The organization lists Tim Mark Menzel, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1154389484
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGREATER MILWAUKEE PLASTIC SURGEONS SC
Location Address13800 W NORTH AVENUE, SUITE 110Brookfield, WI 53005
Mailing Address13800 W North Avenue, Suite 110Brookfield, WI 53005 · (262) 717-4000 · Fax (262) 641-7435
Phone(262) 717-4000
Fax(262) 641-7435
Organization SubpartNo
Authorized OfficialTim Mark MenzelBusiness Manager · (262) 717-4030
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1154389484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
13800 W NORTH AVENUE, Brookfield, WI 53005
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Other Identifiers 2

Medicaid32836200WI
Medicare PIN000068787WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Milwaukee Plastic Surgeons Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Greater Milwaukee Plastic Surgeons Sc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Thomas Kinney, MD
Plastic and Reconstructive Surgery
NPI 1447254875
13800 W NORTH AVENUE STE 110
Brookfield, WI 53005
(262) 717-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Philip Sonderman, MD
Plastic and Reconstructive Surgery
NPI 1992709323
13800 W NORTH AVENUE SUITE 110
Brookfield, WI 53005
(262) 717-4000
✔ PECOS✔ Accepts Medicare1.1 mi

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

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 Greater Milwaukee Plastic Surgeons Sc's NPI number?

The NPI number for Greater Milwaukee Plastic Surgeons Sc is 1154389484. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Greater Milwaukee Plastic Surgeons Sc located?

Greater Milwaukee Plastic Surgeons Sc is located at 13800 W North Avenue Suite 110, Brookfield, WI 53005. The listed phone number is (262) 717-4000.

What is Greater Milwaukee Plastic Surgeons Sc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Greater Milwaukee Plastic Surgeons Sc enrolled in Medicare?

Yes. Greater Milwaukee Plastic Surgeons Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Milwaukee Plastic Surgeons Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Greater Milwaukee Plastic Surgeons Sc. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Greater Milwaukee Plastic Surgeons Sc accept?

Health plans from CareSource (Common Ground Healthcare) and Dean Health Plan list Greater Milwaukee Plastic Surgeons Sc 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 Greater Milwaukee Plastic Surgeons Sc was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.