Audra Luz Kathleena Wisham, M.D.
NPI 1477961308ActiveIndividual· Emergency Medicine· Newport, OR
Emergency Medicine (M.D.) in Newport, Oregon, trained at Loma Linda University School of Medicine (class of 2014). 154 Medicare patients in 2024, $19,977 paid; nearly all of their 274 Part D prescriptions were generic (94%).
Overview
| NPI | 1477961308 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 23, 2014 |
| Last updated in NPPES | Nov 2, 2020 |
| Certified by provider | Nov 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD182496 | OR |
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 - Emergency Medicine (GA); Practitioner - Emergency Medicine (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 154 |
|---|---|
| Services billed | 246 across 10 procedure codes |
| Paid by Medicare | $19,977 |
Part D prescriptions in 2024
| Prescriptions (claims) | 274 · 274 30-day fills |
|---|---|
| Patients | 208 |
| Total drug cost | $5,137 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Samaritan North Lincoln HospitalLincoln City, OR · 42 clinicians
- Confederated Tribes of SiletzSiletz, OR · 12 clinicians
Hospital affiliations
- Samaritan North Lincoln HospitalLincoln City, OR
- Samaritan Pacific Community HospitalNewport, OR
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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