Amber Lievens Widenski, D.O.
NPI 1417255902ActiveIndividual· Emergency Medicine· New London, WI
Emergency Medicine (D.O.) with Thedacare Regional Medical Center - Appleton, Inc, practicing in New London, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $2,955 for 164 claims, against $1,279 paid for services in 2024. Lists Froedtert Community Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1417255902 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Mar 7, 2011 |
| Last updated in NPPES | Dec 4, 2024 |
| Certified by provider | Dec 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 63792-21 | WI |
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 - Emergency Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 13 across 6 procedure codes |
| Paid by Medicare | $1,279 |
Part D prescriptions in 2024
| Prescriptions (claims) | 164 · 168 30-day fills |
|---|---|
| Patients | 102 |
| Total drug cost | $2,955 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Thedacare Regional Medical Center - Appleton, IncOshkosh, WI · 14 clinicians
Hospital affiliations
- Froedtert Community HospitalNew Berlin, WI
- Thedacare Medical Center - Berlin IncBerlin, WI
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, 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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