Dr. Alan Licup, MD - Surgery in Pleasant Prairie, WI

Professional Overview & Biography Verified Profile Summary

Dr. Alan Licup, MD is a certified Surgery practicing in Pleasant Prairie, WI. With approximately 20 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 2006, Dr. Licup delivers high-quality medical care to the local community at 12500 AURORA DR.

Dr. Licup is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12500 Aurora Dr

Pleasant Prairie, WI 53158

Telephone 2628545000

Associated Practice Facility / Clinic

🏢 Aurora Quick Care, Llc Facility NPI 1609820729

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pleasant Prairie, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -10.8 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Pleasant Prairie, WI (765 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Licup (20 Years) 20 Yrs

Pleasant Prairie Specialty Average (30.8 Years) 30.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	15	$390.00	$73.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$755.00	$140.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$620.00	$115.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	17	$370.00	$75.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$720.00	$158.85
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$435.00	$78.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$687.00	$160.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	16	$355.00	$68.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$460.00	$105.56
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$415.00	$94.31
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$313.00	$87.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$565.00	$128.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$645.00	$162.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	15	$330.00	$69.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$535.00	$130.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$430.00	$108.33
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$295.00	$84.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$608.00	$159.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	18	$315.00	$71.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$510.00	$134.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	24	$200.00	$43.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	41	$191.00	$43.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$582.00	$157.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	22	$307.00	$69.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$488.00	$132.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$554.00	$149.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	32	$182.00	$40.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$471.42	$128.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$292.00	$68.18
47562 Removal of gallbladder using an endoscope	13	13	$6450.00	$508.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$528.00	$147.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$173.00	$40.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	21	$278.00	$67.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$463.48	$127.20
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$234.45	$68.02

Medical Specialties & State Licenses

CMS Verified: 2025-10-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 66270-20

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036128087

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100061195 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Markian Kuzycz , MD

Surgery

NPI 1083721526

Doctor of Medicine (M.D.)

Dr. Virginia Lawrence , DPT

Physical Therapist

NPI 1639497605

Doctor of Physical Therapy

Jessica Read

Physical Therapist

NPI 1831643212

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Business Mailing Address October 07, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2025

Surgery (License #66270-20 in WI)

📍

Updated Practice Location May 07, 2020

Registered at 12500 AURORA DR, PLEASANT PRAIRIE, WI 53158 (Tel: 2628545000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2020

Surgery (License #036128087 in IL)

📍

Updated Business Mailing Address January 30, 2020

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4143892233)

✅

NPI Profile Active September 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2016

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

📍

Updated Business Mailing Address September 23, 2016

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

👤

Provider Name / Credentials Updated September 23, 2016

Recorded as ALAN LICUP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2016

Surgery (License #66270-20 in WI)

🟢

Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

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Dr. Alan J Licup , MD