Tiffany L. Fontaine, PA-C
NPI 1639309057ActiveIndividual· Physician Assistant· Oconomowoc, WI
Physician Assistant (PA-C) in Oconomowoc, Wisconsin, licensed in WI, with an NPI issued in July 2009. Mostly services rather than prescriptions: Medicare paid $1,984 for 17 patients in 2024, with only 34 Part D claims. Optinose US, Inc. was the largest of 2 companies reporting payments in 2024, $57.70 in all, mostly food and beverage.
Overview
| NPI | 1639309057 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 20, 2009 |
| Last updated in NPPES | Apr 6, 2021 |
| Certified by provider | Apr 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2443-023 | 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 | 17 |
|---|---|
| Services billed | 22 across 10 procedure codes |
| Paid by Medicare | $1,984 |
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 48 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $528.56 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$57.70 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Optinose US, Inc. | $32.55 | 1 |
| Integra Lifesciences Corporation | $25.15 | 1 |
What the 2024 payments were for
- Food and Beverage$57.70 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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