DR. DMITRY K PASIKHOV MD
NPI 1780791012
Surgery in Lake Geneva, WI
About Dr. Dmitry K Pasikhov Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DMITRY K PASIKHOV MD (NPI 1780791012) is an individual surgery provider in Lake Geneva, Wisconsin, licensed in Wisconsin (44347) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dmitry K Pasikhov 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.
Medicare Billing Reassignment
Medicare enrollment records show Dmitry Pasikhov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Memorial Hospital Burlington
Acute Care Hospitals · Burlington, WIAurora Lakeland Medical Center
Acute Care Hospitals · Elkhorn, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dmitry Pasikhov's NPI number?
The NPI number for Dmitry Pasikhov is 1780791012. It was assigned to this individual provider in the NPPES registry on August 23, 2006.
Where is Dmitry Pasikhov located?
Dmitry Pasikhov practices at 146 E Geneva Square, Lake Geneva, WI 53147. The listed phone number is (262) 249-5000.
What is Dmitry Pasikhov's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Dmitry Pasikhov enrolled in Medicare?
Yes. Dmitry Pasikhov 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.
Which organization bills Medicare for Dmitry Pasikhov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dmitry Pasikhov reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The 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 Dmitry Pasikhov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dmitry Pasikhov accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Dmitry Pasikhov 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 Dmitry Pasikhov affiliated with any hospitals?
According to CMS data, Dmitry Pasikhov is affiliated with Aurora Memorial Hospital Burlington and Aurora Lakeland Medical Center.
When was this NPI record last updated?
The NPPES record for Dmitry Pasikhov was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Dmitry K Pasikhov, MD · NPI 1780791012
Surgery physician in Lake Geneva, Wisconsin. Individual provider, active in the CMS NPPES registry since August 23, 2006.
## Identity
- **NPI:** 1780791012 (Entity type: Individual)
- **Enumerated:** August 23, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 44347 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 146 E GENEVA SQUARE, Lake Geneva, WI 53147
- **Phone:** (262) 249-5000 · **Fax:** (262) 249-7142
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** October 19, 2023
- **Other identifiers:** Medicaid 34192400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1780791012) · Data from the CMS NPPES public registry.