DR. JUSTIN EDWARD WITTKOPF (M.D.) – Otolaryngology Physician, NPI 1043460850
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
238 OTOLARYNGOLOGY in WI
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Provider Addresses for DR. JUSTIN EDWARD WITTKOPF (M.D.)
75th Street, Kenosha, Kenosha County, Wisconsin, United States
STE 102
KENOSHA, WI 531428213
Phone: (414) 771-6780
Fax: (414) 238-2424
Type: Location
2885, North Mayfair Road, Wauwatosa, Milwaukee County, Wisconsin, 53222, United States
WAUWATOSA, WI 532224404
Phone: (414) 771-6780
Fax: (414) 238-2424
Type: Mailing
925 N MILWAUKEE AVE UNIT 200
VERNON HILLS, IL 600611637
Phone: (414) 771-6780
Fax: (414) 238-2424
Type: Location
10001 W INNOVATION DR STE 200
WAUWATOSA, WI 532264851
Phone: (414) 771-6780
Fax: (414) 238-2424
Type: Mailing
984 Willow Rd Ste H
Northbrook, IL 600626821
Phone: (414) 771-6780
Fax: (414) 238-2424
Type: Location
2060 E Algonquin Rd Ste 720
Schaumburg, IL 601734182
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $572.
Total Amount is formed as General ($572) + Research ($0) + Ownership ($0) = $572.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($218).
Total Amount
$572
General + Research + Ownership
Payments
9
Total payment records
General Amount
$572
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $218 |
| Neurent Medical Limited | $202 |
| AERIN MEDICAL INC. | $131 |
| Optinose US, Inc. | $21 |
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: 2019-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090731000506 | I | Otolaryngology | IL | TBD |
| I20190710002916 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 70486 | Ct scan of face without contrast | 122 | 118 | $0 |
| 30117 | Removal or destruction of growth of nose through nose | 116 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 97 | $0 |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 92 | 53 | $0 |
| 30140 | Removal of nasal air passage under lining tissue | 57 | 57 | $0 |
Insurance plans in this area (ZIP 53142)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Physician Assistant | NY | |
| Physician Assistant | WI | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | WI | |
| O T O L A R Y N G O L O G Y | IL | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | IL |
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