DR. THERESE ELIZABETH CUSICK (MD) – Surgery Physician, NPI 1043217722
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
Provider Addresses for DR. THERESE ELIZABETH CUSICK (MD)
9350 E 35TH ST N STE 103
WICHITA, KS 672262022
Phone: (316) 858-5000
Type: Location
North Emporia Street, Wichita, Sedgwick County, Kansas, 67204-4502, United States
SUITE 200
WICHITA, KS 672143729
Phone: (316) 263-0296
Fax: (316) 263-9523
Type: Mailing
551 N HILLSIDE ST STE 201
WICHITA, KS 672144923
Phone: (316) 263-0296
Fax: (316) 263-9523
Type: Location
818 N Emporia St Ste 200
Wichita, KS 672143726
Phone: (316) 263-0296
Type: Location
551 N Hillside St Ste 201
Wichita, KS 672144923
Phone: (316) 263-0296
Fax: (316) 263-9523
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($196).
Total Amount
$215
General + Research + Ownership
Payments
8
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $196 |
| Hologic Sales and Service, LLC | $15 |
| KUB Technologies Inc. | $5 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060119000161 | I | General Surgery | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 96 | 96 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 71 | 71 | $0 |
| 38900 | Imaging of lymph nodes during surgery | 70 | 70 | $0 |
| 19301 | Partial removal of breast | 67 | 62 | $0 |
| 19303 | Simple complete removal of breast | 47 | 47 | $0 |
Insurance plans in this area (ZIP 67226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| General Surgery | KS | |
| Vascular Surgery, General Surgery | KS | |
| Qualified Audiologist | KS | |
| General Surgery | KS | |
| Vascular Surgery | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| O T O L A R Y N G O L O G Y | KS | |
| Colorectal Surgery (Proctology) | KS |
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