LUCAS M BOEHM (M.D.) – Plastic Surgery Physician, NPI 1104288430
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LUCAS M BOEHM (M.D.)
N86W14041 BEACON ST
MENOMONEE FALLS, WI 530513246
Phone: (414) 439-3000
Type: Mailing
6002 N PORT WASHINGTON RD
MILWAUKEE, WI 532174524
Phone: (414) 439-3000
Type: Location
130 2nd St
Neenah, WI 549562883
Phone: (920) 454-5007
Fax: (920) 729-2384
Type: Location
1818 N Meade St
Appleton, WI 549113454
Phone: (920) 454-5007
Fax: (920) 729-2384
Type: Location
1221 Phoenix St # 100
Delavan, WI 531152340
Phone: (262) 288-2434
Type: Location
West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53222:53228, United States
DEPARTMENT OF PLASTIC SURGERY
WAUWATOSA, WI 532263595
Phone: (414) 805-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $764.
Total Amount is formed as General ($764) + Research ($0) + Ownership ($0) = $764.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($366).
Total Amount
$764
General + Research + Ownership
Payments
19
Total payment records
General Amount
$764
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-09-27
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 |
|---|---|---|---|---|
| I20240927000552 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53051)
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Reviews
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