Andrew G. Koopman
NPI 1588183321ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant with Thedacare, Incorporated, practicing in Appleton, Wisconsin. 179 Medicare patients in 2024, $29,924 paid; nearly all of their 407 Part D prescriptions were generic (92%). Lists Thedacare Medical Center - Berlin Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1588183321 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 13, 2017 |
| Last updated in NPPES | Jul 17, 2025 |
| Certified by provider | Jul 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 8211 | WI |
| Physician Assistant | 363A00000X | — | — |
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 (MT); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 490 across 7 procedure codes |
| Paid by Medicare | $29,924 |
Part D prescriptions in 2024
| Prescriptions (claims) | 407 · 430 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $17,621 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - Berlin IncBerlin, WI
- Thedacare Medical Center - New LondonNew London, WI
- Thedacare Regional Med Ctr - NeenahNeenah, 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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