Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Alan J Licup, MD

Individual provider Surgery Physician · NPI 1205048246

Alan J Licup, MD practises General Surgery in Pleasant Prairie, Wisconsin. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2006, 20 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
20
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
IL, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12500 Aurora Dr
Pleasant Prairie, WI 53158
Phone: (262) 854-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 66270-20 (WI)
Surgery Physician Taxonomy 208600000X · Licence 036128087 (IL)

Record details

NPI number1205048246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2006 (20 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Colonoscopy 1–10 times
Hernia repair (minimally invasive) 1–10 times
Hernia repair - groin (open) 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients74
Services billed 150 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Aurora Medical Center Kenosha Hospital · Kenosha, WI

Colleagues at Aurora Medical Group, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3741 clinicians in the practice; 12 are shown here.

Other providers in Pleasant Prairie