Sara Formankiewicz, PA-C
NPI 1467902874ActiveIndividual· Physician Assistant· Reedsburg, WI
Physician Assistant (PA-C) with Mercy Health System Corporation and 1 other group, practicing in Reedsburg, Wisconsin. 272 Medicare patients in 2024, $10,585 paid; nearly all of their 420 Part D prescriptions were generic (95%). Lists Mercy Health System Corp as a hospital affiliation.
Overview
| NPI | 1467902874 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 10, 2016 |
| Last updated in NPPES | Mar 10, 2023 |
| Certified by provider | Mar 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant | 363A00000X | 3930 | 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 - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 272 |
|---|---|
| Services billed | 299 across 16 procedure codes |
| Paid by Medicare | $10,585 |
Part D prescriptions in 2024
| Prescriptions (claims) | 420 · 423 30-day fills |
|---|---|
| Patients | 291 |
| Total drug cost | $3,472 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Mercy Health System CorporationJanesville, WI · 753 clinicians
- The Monroe Clinic, Inc.Monroe, WI · 199 clinicians
Hospital affiliation
- Mercy Health System CorpJanesville, 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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