Michael R. Depew, PA
NPI 1619032919ActiveIndividual· Physician Assistant, Surgical· Manitowoc, WI
Physician Assistant, Surgical (PA) with Froedtert Manitowoc Medical Group, LLC, practicing in Manitowoc, Wisconsin. 131 Medicare patients in 2024, $25,266 paid; nearly all of their 154 Part D prescriptions were generic (99%). Lists Holy Family Memorial as a hospital affiliation.
Overview
| NPI | 1619032919 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Dec 27, 2006 |
| Last updated in NPPES | Sep 24, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 1419 | 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 - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 403 across 26 procedure codes |
| Paid by Medicare | $25,266 |
Part D prescriptions in 2024
| Prescriptions (claims) | 154 · 178 30-day fills |
|---|---|
| Patients | 106 |
| Total drug cost | $1,446 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Froedtert Manitowoc Medical Group, LLCSheboygan, WI · 156 clinicians
Hospital affiliation
- Holy Family MemorialManitowoc, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Manitowoc
- 1447935077