Kelsey E. Gaffney, PA
NPI 1164989281ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (PA) with Womens Health Specialists SC, practicing in Appleton, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $2,724 for 95 claims, against $1,154 paid for services in 2024. Smith+nephew, Inc. was the largest of 4 companies reporting payments in 2025, $80.54 in all, mostly food and beverage. Lists Thedacare Regional Med Ctr - Neenah and 1 other hospital as hospital affiliations.
Overview
| NPI | 1164989281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 25, 2019 |
| Last updated in NPPES | Jan 30, 2020 |
| Certified by provider | Jan 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4980 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 32 across 8 procedure codes |
| Paid by Medicare | $1,154 |
Part D prescriptions in 2024
| Prescriptions (claims) | 95 · 178 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $2,724 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Womens Health Specialists SCAppleton, WI · 27 clinicians
Hospital affiliations
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
- 2025$80.54 · 4 payments from 4 companies
- 2024$49.98 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $22.68 | 1 |
| Biogen, Inc. | $22.19 | 1 |
| Pfizer Inc. | $19.50 | 1 |
| Sumitomo Pharma America, Inc. | $16.17 | 1 |
What the 2025 payments were for
- Food and Beverage$80.54 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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