Kip Tyler Mentzer, M.D.
NPI 1518131374ActiveIndividual· Family Medicine· Port Washington, WI
Family Medicine (M.D.) in Port Washington, Wisconsin, trained at Ohio State University College of Medicine (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $481,412 for 6,010 claims, against $15,225 paid for services in 2024.
Overview
| NPI | 1518131374 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 14, 2008 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Sep 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 54515-20 | 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 - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 228 across 16 procedure codes |
| Paid by Medicare | $15,225 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,010 · 13,278 30-day fills |
|---|---|
| Patients | 640 |
| Total drug cost | $481,412 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Ohio State University College of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Froedtert Andthe Medical College of Wisconsin Community Physicians IncWauwatosa, WI · 1,285 clinicians
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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