LUCAS LIPPERT – Physical Therapist, NPI 1023787256

LUCAS LIPPERT is a healthcare provider. based in Madison, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 15545-24 (WI). The NPI Number for LUCAS LIPPERT is 1023787256

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
LUCAS LIPPERT
NPI
1023787256
Phone
(415) 810-4602
Address
3526 WYOTA AVE
Enumeration Date
10 September 2021
Last Update Date
10 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082339746
Graduation Year
2021 (5 years ago)
PAC ID
8224567276
Group Practice PAC ID
7719953306
Professional Enrollment ID
I20250121002671
Address ID
WI537054901MA4410XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for LUCAS LIPPERT

  • 3526 WYOTA AVE

    MADISON, WI 537111741

    Phone: (415) 810-4602

    Type: Mailing

  • 5833 AMERICAN PKWY

    MADISON, WI 537188325

    Phone: (608) 230-4681

    Type: Location

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: 2025-01-21

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
I20250121002671IPhysical Therapist In Private 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 53711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719953306View full group profile
NameSpecialtyState
P S Y C H I A T R YWI
Physical Therapist In Private PracticeIL
Internal MedicineWI
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeWI
Physician AssistantWI
Physical Therapist In Private PracticeWI
Internal MedicineMN
Family PracticeWI
-WI

Reviews

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Frequently asked questions

How do payers reference LUCAS LIPPERT?
For LUCAS LIPPERT, use NPI 1023787256 as the unique 10-digit identifier.
Would LUCAS LIPPERT appear as active to a payer?
You can treat LUCAS LIPPERT as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LUCAS LIPPERT?
At a glance, LUCAS LIPPERT is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LUCAS LIPPERT?
Travel planning: use Madison, Wisconsin as the reference point for LUCAS LIPPERT, then confirm.
When was this NPI issued?
Enumeration for LUCAS LIPPERT is noted as September 10, 2021 where the registry provides it.

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