BRENDON KYLE LUVISA MD
NPI 1790311660
Plastic Surgery in Madison, WI

Q: What is Brendon Luvisa's NPI number?

The NPI number for Brendon Luvisa is 1790311660. It was assigned to this individual provider in the NPPES registry on March 23, 2020. The provider is also known as Brendon Kyle Luvisa MD.

Q: What is Brendon Luvisa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brendon Luvisa was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 23, 2020PECOS Enrolled

1255 FOURIER DR STE 102, MADISON, WI 53717(608) 903-9253 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 27, 2026, Mar 23, 2020 (2 updates tracked since 2020).

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About Brendon Kyle Luvisa Md NPPES

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

BRENDON KYLE LUVISA MD (NPI 1790311660) is an individual plastic surgery provider in Madison, Wisconsin, licensed in Wisconsin (86380-20) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790311660

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameBRENDON KYLE LUVISACredential: MD

Location Address1255 FOURIER DR STE 102Madison, WI 53717-2176

Mailing Address1255 Fourier Dr Ste 102Madison, WI 53717-2176 · (608) 903-9253

Phone(608) 903-9253

Sole ProprietorYes

Enumeration DateMarch 23, 2020

Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1790311660 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 · 86380-20

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.

1255 FOURIER DR STE 102, Madison, WI 53717

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Other Names 1

Professional Name (2)Brendon Kyle Luvisa Md

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendon Kyle Luvisa Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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.

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 Brendon Luvisa's NPI number?

The NPI number for Brendon Luvisa is 1790311660. It was assigned to this individual provider in the NPPES registry on March 23, 2020. The provider is also known as Brendon Kyle Luvisa MD.

Where is Brendon Luvisa located?

Brendon Luvisa practices at 1255 Fourier Dr Ste 102, Madison, WI 53717. The listed phone number is (608) 903-9253.

What is Brendon Luvisa's specialty?

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

Is Brendon Luvisa enrolled in Medicare?

Yes. Brendon Luvisa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendon Luvisa was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.