DR. ANDREA S. LUSZCAK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1194909309

DR. ANDREA S. LUSZCAK (DPM) is a healthcare provider. based in Arbor vitae, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 980-25 (WI). The NPI Number for DR. ANDREA S. LUSZCAK (DPM) is 1194909309

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA S. LUSZCAK (DPM)
NPI
1194909309
Phone
(779) 537-4134
Address
1400 US HIGHWAY 51 N UNIT 7
Enumeration Date
24 December 2007
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8628146941
Group Practice PAC ID
9032013198
Professional Enrollment ID
I20111221000723
Address ID
MI499389622IRN1056LANE300

Contacts

Secure Messaging
andrea.dirksen.1@10114.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

297 PODIATRY in WI

Provider Addresses for DR. ANDREA S. LUSZCAK (DPM)

  • 1400 US HIGHWAY 51 N UNIT 7

    ARBOR VITAE, WI 545689504

    Phone: (779) 537-4134

    Type: Location

  • 1400 US Highway 51 N Unit 7

    Arbor Vitae, WI 545689504

    Phone: (779) 537-4134

    Type: Location

  • 240 Maple St

    Woodruff, WI 545689190

    Phone: (715) 356-8000

    Type: Location

  • 5492, Heartwood Lane, Roscoe, Winnebago County, Illinois, 61073, United States

    ROSCOE, IL 610737922

    Phone: (779) 537-4134

    Type: Mailing

  • 2251 N SHORE DR

    RHINELANDER, WI 545016710

    Phone: (715) 361-4700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $502.

Total Amount is formed as General ($502) + Research ($0) + Ownership ($0) = $502.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Smith+Nephew, Inc. ($153).

Total Amount

$502

General + Research + Ownership

Payments

8

Total payment records

General Amount

$502

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-12-21

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
I20111221000723IPodiatryWITBD

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 54568)

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Provider's Procedures

DR. ANDREA S. LUSZCAK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYWI11042Removal of skin and tissue first 20 sq cm or less4919
PODIATRYWI11056Removal of 2 to 4 thickened skin growths8459
PODIATRYWI73630X-ray of foot, minimum of 3 views5636

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: 9032013198View full group profile
NameSpecialtyState
General SurgeryMI
P S Y C H I A T R YOH
Internal Medicine, Pediatric MedicineMI
Diagnostic RadiologyNY
-MI
O B S T E T R I C S/ G Y N E C O L O G YWI
Physician AssistantWI
Nurse PractitionerMI
Certified Nurse Midwife (Cnm)MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I cross-check DR. ANDREA S. LUSZCAK (DPM) using NPI 1194909309?
NPI 1194909309 belongs to DR. ANDREA S. LUSZCAK (DPM); compare other details if you need extra assurance.
Would DR. ANDREA S. LUSZCAK (DPM) appear as active to a payer?
You can treat DR. ANDREA S. LUSZCAK (DPM) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. ANDREA S. LUSZCAK (DPM)?
DR. ANDREA S. LUSZCAK (DPM)'s record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. ANDREA S. LUSZCAK (DPM) associated with Arbor Vitae?
Public fields place DR. ANDREA S. LUSZCAK (DPM) around Arbor Vitae, Wisconsin. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. ANDREA S. LUSZCAK (DPM) is noted as December 24, 2007 where the registry provides it.