ALLEXA LICON – Cardiovascular Disease Physician, NPI 1124480405
Cardiovascular Disease Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX
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Provider Addresses for ALLEXA LICON
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753907201
Phone: (214) 590-8000
Type: Location
2601 W BELTLINE HWY STE 200
MADISON, WI 537132319
Phone: (082) 872-4346
Fax: (608) 287-2182
Type: Location
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-08-12
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 |
|---|---|---|---|---|
| I20220812001523 | I | Cardiovascular Disease (Cardiology) | WI | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 393 | 392 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 346 | 293 | $0 |
| 93356 | Heart muscle strain imaging | 170 | 169 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 70 | 57 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 | 22 | $0 |
Insurance plans in this area (ZIP 75390)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Family Practice | WI | |
| Physical Therapist In Private Practice | IA | |
| Occupational Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | IA | |
| Physician Assistant | WI | |
| Family Practice | FL | |
| Pediatric Medicine | WI | |
| Qualified Speech Language Pathologist | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI |
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