Andrea Jo Poulson-Port, M.D.
NPI 1326280611ActiveIndividual· Family Medicine· Manitowoc, WI
Family Medicine (M.D.) in Manitowoc, Wisconsin, trained at Wayne State University School of Medicine (class of 2009). Their prescriptions cost Medicare Part D more than their services did: $528,578 for 8,577 claims, against $58,772 paid for services in 2024.
Overview
| NPI | 1326280611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 1, 2009 |
| Last updated in NPPES | Sep 24, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 56118-20 | 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 - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 232 |
|---|---|
| Services billed | 2,399 across 36 procedure codes |
| Paid by Medicare | $58,772 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,577 · 18,570 30-day fills |
|---|---|
| Patients | 449 |
| Total drug cost | $528,578 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Family Practice |
Medical groups
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
- Aamg Reach PLLCKenosha, WI · 51 clinicians
Hospital affiliations
- Aurora Medical Ctr Manitowoc CountyTwo Rivers, WI
- Holy Family MemorialManitowoc, WI
Other facilities
- Aurora at HomeHome health agency · Green Bay, 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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All 22 family medicine physicians in Manitowoc · All family medicine physicians in Wisconsin