DR. ROGER C MIXTER (M.D.) – Plastic Surgery Physician, NPI 1154375996

Plastic Surgery Physician

DR. ROGER C MIXTER (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in Plastic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 26326 (WI). The NPI Number for DR. ROGER C MIXTER (M.D.) is 1154375996

Main info

Male

Sole Proprietor

50 Years Of Experience

Accepts Medicare Assignment

Name

DR. ROGER C MIXTER (M.D.)

NPI

1154375996

Phone

(414) 963-0500

Address

5201 N PORT WASHINGTON RD

Enumeration Date

19 May 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS

Secondary Phone

4149630500

Graduation Year

1976 (50 years ago)

PAC ID

4385605591

Group Practice PAC ID

0941261150

Professional Enrollment ID

I20101012000779

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROGER C MIXTER (M.D.)

North Port Washington Road, Harambee, Milwaukee, Milwaukee County, Wisconsin, 53217, United States
MILWAUKEE, WI 532174902
Phone: (414) 963-0500
Fax: (414) 963-0359
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 53217)

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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: 0941261150View full group profile

Name	Specialty	State
DR. MARK FRANCIS BLAKE (M.D.)	-	WI

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Frequently asked questions

Where can patients find DR. ROGER C MIXTER (M.D.)'s NPI?

You can confirm DR. ROGER C MIXTER (M.D.) with NPI 1154375996; it appears in the national provider directory.

Is DR. ROGER C MIXTER (M.D.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does DR. ROGER C MIXTER (M.D.) treat or focus on?

Patients typically see DR. ROGER C MIXTER (M.D.) under the specialty Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.

Does DR. ROGER C MIXTER (M.D.) practice in Wisconsin?

You will see Milwaukee, Wisconsin on file for DR. ROGER C MIXTER (M.D.) alongside any extra practice locations.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.