Kristen Jeanne Brockdorf, PA-C
NPI 1558882555ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (PA-C) with Thedacare, Incorporated, practicing in Appleton, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $1,518,729 for 1,000 claims, against $49,959 paid for services in 2024. Pfizer Inc. reported $20.61 in payments in 2024, mostly food and beverage. Lists Thedacare Medical Center - Shawano and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1558882555 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 29, 2017 |
| Last updated in NPPES | Sep 8, 2022 |
| Certified by provider | Sep 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 404123 | WI |
| Spec/Tech, Pathology, Medical Technologist | 246QM0706X | 249004 | WI |
| Physician Assistant, Medical | 363AM0700X | 404123 | 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 | 111 |
|---|---|
| Services billed | 544 across 17 procedure codes |
| Paid by Medicare | $49,959 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,000 · 1,446 30-day fills |
|---|---|
| Patients | 197 |
| Total drug cost | $1,518,729 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - ShawanoShawano, WI
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
- 2024$20.61 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $20.61 | 1 |
What the 2024 payments were for
- Food and Beverage$20.61 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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