DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) – Plastic Surgery Physician, NPI 1669567905

DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, HAND SURGERY. They hold the professional credentials M.D.. They hold a License No. 45547020 (WI). The NPI Number for DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) is 1669567905

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ANTHONY JR. LOGIUDICE (M.D.)
NPI
1669567905
Phone
(414) 955-1000
Address
1155 N MAYFAIR RD
Enumeration Date
3 October 2006
Last Update Date
8 November 2016

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
4149554263
Graduation Year
2000 (26 years ago)
PAC ID
6204927890
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20070810000717
Address ID
WI532263462MI1155XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

125 PLASTIC AND RECONSTRUCTIVE SURGERY in WI

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Provider Addresses for DR. JOHN ANTHONY JR. LOGIUDICE (M.D.)

  • Tosa Health Center, 1155, North Mayfair Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    PLASTIC SURGERY CENTER

    MILWAUKEE, WI 532263462

    Phone: (414) 955-1000

    Fax: (414) 955-0183

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $3,533.

Total Amount is formed as General ($3,533) + Research ($0) + Ownership ($0) = $3,533.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: KLS-Martin L.P. ($3,395).

Total Amount

$3,533

General + Research + Ownership

Payments

6

Total payment records

General Amount

$3,533

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

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: 2007-08-10

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
I20070810000717IPlastic And Reconstructive SurgeryWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4331$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
99212Established patient office or other outpatient visit, 10-19 minutes2519$0
99214Established patient office or other outpatient visit, 30-39 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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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: 2668384371View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JOHN ANTHONY JR. LOGIUDICE (M.D.)?
NPI 1669567905 is assigned to DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) under the national enumeration system.
Is DR. JOHN ANTHONY JR. LOGIUDICE (M.D.)'s NPI currently valid?
The extract we use shows DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) as active.
What field does DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) work in?
You can think of DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) as practicing within Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN ANTHONY JR. LOGIUDICE (M.D.)?
We surface Milwaukee, Wisconsin for DR. JOHN ANTHONY JR. LOGIUDICE (M.D.) based on available NPPES addresses.
What if Milwaukee, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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