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Katherine D. Ketterhagen, PA-C

NPI 1356414668ActiveIndividual· Physician Assistant· Janesville, WI

Physician Assistant (PA-C) with Stoughton Hospital Association and 2 other groups, practicing in Janesville, Wisconsin. 145 Medicare patients in 2024, $12,096 paid; nearly all of their 242 Part D prescriptions were generic (95%). Lists Fort Memorial Hospital and 1 other hospital as hospital affiliations.

Overview

NPI1356414668
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedNov 16, 2006
Last updated in NPPESNov 3, 2020
Certified by providerNov 3, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X1757-23WI

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 - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients145
Services billed189 across 28 procedure codes
Paid by Medicare$12,096

Part D prescriptions in 2024

Prescriptions (claims)242 · 243 30-day fills
Patients174
Total drug cost$5,059
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Graduation year2004
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliations

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 Physician Assistant providers in Janesville

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