ASPEN ORTHOPEDIC AND REHABILATION SPECALIST – Orthopaedic Surgery Physician, NPI 1366473597
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ASPEN ORTHOPEDIC AND REHABILATION SPECALIST
19475, West North Avenue, Brookfield, Waukesha County, Wisconsin, 53045, United States
SUITE 201
BROOKFIELD, WI 530454199
Phone: (262) 395-4141
Fax: (262) 395-4159
Type: Mailing
12555 W NATIONAL AVE STE 100
NEW BERLIN, WI 531514061
Phone: (262) 395-4141
Fax: (262) 395-4189
Type: Mailing
17000 W North Ave Ste 104W
Brookfield, WI 530054423
Phone: (262) 395-4141
Fax: (262) 395-4159
Type: Location
2750 Golf Rd Ste B
Delafield, WI 530182064
Phone: (262) 395-4141
Type: Location
8907 S Howell Ave Ste 800
Oak Creek, WI 531544461
Phone: (262) 395-4141
Fax: (262) 395-4219
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (954 days ago).
Enrollment records
2
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20040325000848 | O | Clinic/Group Practice | WI | TBD |
| O20100930039317 | O | Physician - Orthopedic/Orthopedic Surgery | WI | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 53045)
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