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Colleen F. Cassidy, MD

NPI 1275899841ActiveIndividual· Family Medicine· Beaver Dam, WI

Family Medicine (MD) with Lakeshore Medical Clinic LLC, practicing in Beaver Dam, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $617,311 for 6,942 claims, against $41,519 paid for services in 2024. Lists Aurora St Lukes Medical Center as a hospital affiliation.

Overview

NPI1275899841
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedApr 7, 2012
Last updated in NPPESMar 1, 2021
Certified by providerMar 1, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X61855-20WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients151
Services billed536 across 35 procedure codes
Paid by Medicare$41,519

Part D prescriptions in 2024

Prescriptions (claims)6,942 · 14,319 30-day fills
Patients485
Total drug cost$617,311
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Graduation year2012
Medicare specialtyFamily Practice

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Beaver Dam

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