DR. THOMAS JOHN SHEWCZYK (MD) – Family Medicine Physician, NPI 1013007046

DR. THOMAS JOHN SHEWCZYK (MD) is a healthcare provider. based in Cedarburg, Wisconsin. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 19364 (WI). The NPI Number for DR. THOMAS JOHN SHEWCZYK (MD) is 1013007046

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS JOHN SHEWCZYK (MD)
NPI
1013007046
Phone
(262) 375-1580
Address
4922 COLUMBIA ROAD
Enumeration Date
13 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
8527229806
Professional Enrollment ID
I20120412000687
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THOMAS JOHN SHEWCZYK (MD)

  • Columbia Road, Town of Cedarburg, Ozaukee County, Wisconsin, 53012, United States

    CEDARBURG, WI 53012

    Phone: (262) 375-1580

    Fax: (262) 375-9452

    Mailing address matches the actual address.

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: 2012-04-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120412000687IFamily PracticeWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53012)

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Reviews

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Frequently asked questions

Is there an official ID for DR. THOMAS JOHN SHEWCZYK (MD) in U.S. healthcare records?
The official identifier for DR. THOMAS JOHN SHEWCZYK (MD) is NPI 1013007046.
Is there an active status for DR. THOMAS JOHN SHEWCZYK (MD)?
For scheduling context, DR. THOMAS JOHN SHEWCZYK (MD) is shown as active in the registry.
How would a patient describe DR. THOMAS JOHN SHEWCZYK (MD)'s focus?
For DR. THOMAS JOHN SHEWCZYK (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. THOMAS JOHN SHEWCZYK (MD)?
Directory geography for DR. THOMAS JOHN SHEWCZYK (MD) centers on Cedarburg, Wisconsin.
Can I trust this NPI listing for DR. THOMAS JOHN SHEWCZYK (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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