DR. MATTHEW DAVID KRASUCKI (M.D.) – Psychiatry Physician, NPI 1497920995
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
677 PSYCHIATRY in WI
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Provider Addresses for DR. MATTHEW DAVID KRASUCKI (M.D.)
2801, West Kinnickinnic River Parkway, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
STE 175
MILWAUKEE, WI 532153669
Phone:
Type: Mailing
N54W26176 BODEN LN
SUSSEX, WI 530894269
Phone: (630) 995-1130
Type: Mailing
1720 W FLORIST AVE UNIT 203
GLENDALE, WI 532093800
Phone: (414) 649-7909
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $531.
Total Amount is formed as General ($531) + Research ($0) + Ownership ($0) = $531.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($155).
Total Amount
$531
General + Research + Ownership
Payments
11
Total payment records
General Amount
$531
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $155 |
| Otsuka America Pharmaceutical, Inc. | $125 |
| ITI, Inc. | $95 |
| Alkermes, Inc. | $83 |
| E.R. Squibb & Sons, L.L.C. | $23 |
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: 2015-11-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151117002859 | I | Psychiatry | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| P S Y C H I A T R Y | WI | |
| Mental Health Counselor | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| P S Y C H I A T R Y | WI | |
| Mental Health Counselor | WI | |
| Psychiatry, Geriatric Psychiatry | WI |
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