Philip M. Detrana, M.D.
NPI 1013992643ActiveIndividual· Internal Medicine, Pulmonary Disease· Sheboygan, WI
Internal Medicine, Pulmonary Disease (M.D.) in Sheboygan, Wisconsin, trained at R Franklin University of Med & Sci/Chicago Medical School (class of 1986). Their prescriptions cost Medicare Part D more than their services did: $492,068 for 909 claims, against $55,731 paid for services in 2024.
Overview
| NPI | 1013992643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 6, 2005 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 36416 | WI |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 36416 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 418 |
|---|---|
| Services billed | 986 across 28 procedure codes |
| Paid by Medicare | $55,731 |
Part D prescriptions in 2024
| Prescriptions (claims) | 909 · 1,406 30-day fills |
|---|---|
| Patients | 182 |
| Total drug cost | $492,068 |
| Generic share | 46% of claims |
Education and affiliations
| Medical school | R Franklin University of Med & Sci/Chicago Medical School |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Pulmonary Disease |
| Telehealth | Offers telehealth |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliation
- Aurora Medical Center Sheboygan CountySheboygan, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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