James R. Bargenquast, MD
NPI 1386689537ActiveIndividual· Hospitalist· Appleton, WI
Hospitalist (MD) in Appleton, Wisconsin, trained at Saint Louis University School of Medicine (class of 1979). Their prescriptions cost Medicare Part D more than their services did: $20,570 for 147 claims, against $10,057 paid for services in 2024.
Overview
| NPI | 1386689537 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 19, 2006 |
| Last updated in NPPES | Aug 9, 2023 |
| Certified by provider | Aug 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 22956 | WI |
| Internal Medicine | 207R00000X | 15491 | AZ |
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 - Hospitalist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 154 across 11 procedure codes |
| Paid by Medicare | $10,057 |
Part D prescriptions in 2024
| Prescriptions (claims) | 147 · 207 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $20,570 |
| Generic share | 80% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 1979 |
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - Berlin IncBerlin, WI
- Thedacare Medical Center - New LondonNew London, WI
- Thedacare Medical Center-WaupacaWaupaca, WI
Other facilities
- Thedacare at HomeHospice · Appleton, 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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