Jared Matthew McLister, PAC
NPI 1679805105ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (PAC) in Appleton, Wisconsin, trained at Sanford School of Medicine of University of South Dakota (class of 2009). 120 Medicare patients in 2024, $19,475 paid; all of their 530 Part D prescriptions were generic.
Overview
| NPI | 1679805105 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Feb 9, 2010 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4316-23 | WI |
| Physician Assistant | 363A00000X | 10698 | MN |
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 | 120 |
|---|---|
| Services billed | 816 across 38 procedure codes |
| Paid by Medicare | $19,475 |
Part D prescriptions in 2024
| Prescriptions (claims) | 530 · 530 30-day fills |
|---|---|
| Patients | 286 |
| Total drug cost | $4,493 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Sanford School of Medicine of University of South Dakota |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Physician Assistant |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - New LondonNew London, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, 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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