ALAN J LICUP MD
NPI 1205048246
Surgery in Pleasant Prairie, WI

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158(262) 854-5000 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2025, Nov 18, 2021, May 7, 2020 and 4 more (7 updates tracked since 2016).

About Alan J Licup Md NPPES

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

ALAN J LICUP MD (NPI 1205048246) is an individual surgery provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (66270-20) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2006).

NPPES Registry Identity

NPI1205048246
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALAN J LICUPCredential: MD
Location Address12500 AURORA DRPleasant Prairie, WI 53158
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2006
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 7, 20257 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1205048246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WI · 66270-20 Licensed in IL · 036128087
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12500 AURORA DR, Pleasant Prairie, WI 53158

Other Identifiers 1

Medicaid100061195WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alan J Licup Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547484602
PECOS Enrollment IDI20161004002703
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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 20

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

Chiropractor
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Physical Therapist
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Physical Therapist
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Nurse Practitioner
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Physician Assistant
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Physical Therapist
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Physician Assistant
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158
Surgery
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158

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 Alan Licup's NPI number?

The NPI number for Alan Licup is 1205048246. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Alan Licup located?

Alan Licup practices at 12500 Aurora Dr, Pleasant Prairie, WI 53158. The listed phone number is (262) 854-5000.

What is Alan Licup's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alan Licup enrolled in Medicare?

Yes. Alan Licup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alan Licup accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Alan Licup 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.

Is Alan Licup affiliated with any hospitals?

According to CMS data, Alan Licup is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Alan Licup was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.