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THOMAS ILIC M.D.
NPI 1912438417
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
2323 N LAKE DR STE 1031, MILWAUKEE, WI 53211(414) 585-1620(414) 585-1924 Get Directions Write a Review

NPPES record last updated: December 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2021, Nov 9, 2019, Aug 14, 2019 and 1 more (4 updates tracked since 2017).

About Thomas Ilic M.d. NPPES

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

THOMAS ILIC M.D. (NPI 1912438417) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (71502-20) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Tufts University School Of Medicine (2017).

NPPES Registry Identity

NPI1912438417
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTHOMAS ILICCredential: M.D.
Location Address2323 N LAKE DR STE 1031Milwaukee, WI 53211-4508
Mailing Address2323 N Lake Dr Ste 1031Milwaukee, WI 53211-4508 · (414) 585-1620 · Fax (414) 585-1924
Phone(414) 585-1620
Fax(414) 585-1924
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2017
Enumeration DateMarch 26, 2017
Last NPPES UpdateDecember 26, 20214 updates tracked since enumeration
NPPES CertifiedDecember 26, 2021
✔ NPI 1912438417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 71502-20
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2323 N LAKE DR STE 1031, Milwaukee, WI 53211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health.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

Thomas Ilic M.d. 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 ID3870925704
PECOS Enrollment IDI20191204000537
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 6

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.

Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
54 services12 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
46 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services17 patients
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.
22 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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 Thomas Ilic's NPI number?

The NPI number for Thomas Ilic is 1912438417. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Where is Thomas Ilic located?

Thomas Ilic practices at 2323 N Lake Dr Ste 1031, Milwaukee, WI 53211. The listed phone number is (414) 585-1620.

What is Thomas Ilic's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thomas Ilic enrolled in Medicare?

Yes. Thomas Ilic 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 Thomas Ilic accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Network Health list Thomas Ilic 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 Thomas Ilic affiliated with any hospitals?

According to CMS data, Thomas Ilic is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Ilic was last updated on December 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.