DR. BRYAN STUART WICHMAN (M.D.) – Anesthesiology Physician, NPI 1104926468

DR. BRYAN STUART WICHMAN (M.D.) is a healthcare provider. based in Sheboygan, Wisconsin. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 48789-020 (WI). The NPI Number for DR. BRYAN STUART WICHMAN (M.D.) is 1104926468

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN STUART WICHMAN (M.D.)
NPI
1104926468
Phone
(920) 783-1261
Address
3100 SUPERIOR AVE
Enumeration Date
25 September 2006
Last Update Date
18 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207835000
Graduation Year
2002 (24 years ago)
PAC ID
1658447453
Group Practice PAC ID
1355330853
Professional Enrollment ID
I20080902000247
Address ID
WI530811957SH3141XAVEX300

Contacts

Secure Messaging
bwichman16350@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,266 ANESTHESIOLOGY in WI

Provider Addresses for DR. BRYAN STUART WICHMAN (M.D.)

  • 3100 SUPERIOR AVE

    SHEBOYGAN, WI 530811948

    Phone: (920) 783-1261

    Type: Location

  • 917, Wood Court, Town of Wilson, Sheboygan County, Wisconsin, 53081, United States

    SHEBOYGAN, WI 530819124

    Phone: (920) 912-3753

    Type: Location

  • 225 S EXECUTIVE DR

    BROOKFIELD, WI 530054257

    Phone: (262) 787-4050

    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: 2008-09-02

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
I20080902000247IAnesthesiologyWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery3633$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 53081)

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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: 1355330853View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YWI
-WI
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BRYAN STUART WICHMAN (M.D.)?
NPI 1104926468 is assigned to DR. BRYAN STUART WICHMAN (M.D.) under the national enumeration system.
Is DR. BRYAN STUART WICHMAN (M.D.) active in the national directory?
DR. BRYAN STUART WICHMAN (M.D.)'s public NPI profile is in an active state.
What field does DR. BRYAN STUART WICHMAN (M.D.) work in?
You can think of DR. BRYAN STUART WICHMAN (M.D.) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. BRYAN STUART WICHMAN (M.D.) practice in Wisconsin?
You will see Sheboygan, Wisconsin on file for DR. BRYAN STUART WICHMAN (M.D.) alongside any extra practice locations.
How can I contact DR. BRYAN STUART WICHMAN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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