Tracy L. Crombie, PA-C
NPI 1194073791ActiveIndividual· Physician Assistant· Beaver Dam, WI
Physician Assistant (PA-C) with Prairie Ridge Health Inc, practicing in Beaver Dam, Wisconsin. 99 Medicare patients in 2024, $9,670 paid; nearly all of their 107 Part D prescriptions were generic (91%). Lists Columbus Community Hospital as a hospital affiliation.
Overview
| NPI | 1194073791 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 29, 2012 |
| Last updated in NPPES | Oct 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2940-23 | 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 - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 132 across 13 procedure codes |
| Paid by Medicare | $9,670 |
Part D prescriptions in 2024
| Prescriptions (claims) | 107 · 107 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $1,870 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Prairie Ridge Health IncColumbus, WI · 70 clinicians
Hospital affiliation
- Columbus Community HospitalColumbus, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Beaver Dam
- 1568027555
- 1609657402
- 1487605937
- 1891933354
- 1225522733
- 1811157720
- 1760433189
- 1548279573
- 1376551945
- 1033744610
- 1508029174
- 1922329861