Brianna L. Dostalek, PA
NPI 1528501574ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (PA) with Thedacare, Incorporated, practicing in Appleton, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $121,187 for 1,315 claims, against $6,775 paid for services in 2024. Lists Thedacare Regional Med Ctr - Neenah and 1 other hospital as hospital affiliations.
Overview
| NPI | 1528501574 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 23, 2016 |
| Last updated in NPPES | Nov 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3931 | 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 - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 142 across 29 procedure codes |
| Paid by Medicare | $6,775 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,315 · 3,041 30-day fills |
|---|---|
| Patients | 197 |
| Total drug cost | $121,187 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- 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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