DR. MICHAEL A JANITCH (MD) – Plastic and Reconstructive Surgery Physician, NPI 1366438798
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 PLASTIC AND RECONSTRUCTIVE SURGERY in WI
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Provider Addresses for DR. MICHAEL A JANITCH (MD)
Anduzzi's Sports Club - Holmgren Way, 1992, Holmgren Way, Green Bay, Brown County, Wisconsin, 54304, United States
GREEN BAY, WI 543045224
Phone: (920) 496-4700
Type: Mailing
1715, Dousman Street, Green Bay, Brown County, Wisconsin, 54303, United States
GREEN BAY, WI 543033211
Phone: (920) 496-4700
Fax: (920) 405-1432
Type: Location
1715 Dousman St
Green Bay, WI 543033211
Phone: (920) 496-4700
Fax: (920) 405-1432
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $562.
Total Amount is formed as General ($562) + Research ($0) + Ownership ($0) = $562.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($512).
Total Amount
$562
General + Research + Ownership
Payments
30
Total payment records
General Amount
$562
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $512 |
| Musculoskeletal Transplant Foundation Inc. | $34 |
| Galderma Laboratories, L.P. | $16 |
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: 2004-10-25
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041025000052 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 16 | $0 |
| 12051 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 16 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 54304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WI | |
| Hospitalist, Internal Medicine | MI | |
| - | WI | |
| - | WI | |
| Family Practice, Sports Medicine | WI | |
| - | OH | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| Internal Medicine, Hospitalist | WI |
Reviews
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