Fredrick C. Wittleder, PA
NPI 1205195088ActiveIndividual· Physician Assistant, Surgical· Oak Park Heights, MN
Physician Assistant, Surgical (PA) with Catholic Health Initiatives Colorado, practicing in Oak Park Heights, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $12,213 for 259 claims, against $4,512 paid for services in 2024. Spinal Simplicity, LLC was the largest of 2 companies reporting payments in 2025, $1,339 in all, mostly travel and lodging. Lists Holy Cross Hospital-Jordan Valley as a hospital affiliation.
Overview
| NPI | 1205195088 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 14, 2012 |
| Last updated in NPPES | Oct 30, 2023 |
| Certified by provider | Oct 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | MN |
| Physician Assistant, Surgical | 363AS0400X | — | WI |
| Physician Assistant, Medical | 363AM0700X | 10749979-1206 | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 71 across 7 procedure codes |
| Paid by Medicare | $4,512 |
Part D prescriptions in 2024
| Prescriptions (claims) | 259 · 304 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $12,213 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Catholic Health Initiatives ColoradoLakewood, CO · 1,225 clinicians
Hospital affiliation
- Holy Cross Hospital-Jordan ValleyWest Jordan, UT
Industry payments (Open Payments)
- 2025$1,339 · 12 payments from 2 companies
- 2024$1,380 · 40 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Spinal Simplicity, LLC | $1,320 | 11 |
| Boston Scientific Corporation | $19.29 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,154 · 3 payments
- Food and Beverage$185.59 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Surgical providers in Oak Park Heights
- 1558368985
- 1457322984
- 1063412112