Kristin Marie Balthazor, PA-C, MPAS
NPI 1649422619ActiveIndividual· Physician Assistant· Sheboygan, WI
Physician Assistant (PA-C, MPAS) with Wisconsin Spine and Pain SC, practicing in Sheboygan, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $420,754 for 3,568 claims, against $27,136 paid for services in 2024. Abbott Laboratories was the largest of 12 companies reporting payments in 2025, $1,404 in all, mostly food and beverage. Lists Aurora Medical Ctr Manitowoc County and 1 other hospital as hospital affiliations.
Overview
| NPI | 1649422619 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, MPAS |
| Sole proprietor | No |
| NPI issued | Oct 21, 2008 |
| Last updated in NPPES | Mar 13, 2023 |
| Certified by provider | Mar 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4402-23 | WI |
| Physician Assistant | 363A00000X | 085.003246 | IL |
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 (IL); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 489 across 8 procedure codes |
| Paid by Medicare | $27,136 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,568 · 4,095 30-day fills |
|---|---|
| Patients | 384 |
| Total drug cost | $420,754 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wisconsin Spine and Pain SCSheboygan, WI · 20 clinicians
Hospital affiliations
- Aurora Medical Ctr Manitowoc CountyTwo Rivers, WI
- St Nicholas HospitalSheboygan, WI
Industry payments (Open Payments)
- 2025$1,404 · 44 payments from 12 companies
- 2024$555.97 · 26 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $666.28 | 7 |
| Pfizer Inc. | $152.31 | 8 |
| Collegium Pharmaceutical, Inc. | $106.94 | 7 |
| Abbvie Inc. | $101.34 | 4 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $100.19 | 5 |
What the 2025 payments were for
- Food and Beverage$1,162 · 42 payments
- Travel and Lodging$242.63 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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