Guoqing Song, PA-C
NPI 1801247176ActiveIndividual· Physician Assistant, Surgical· Appleton, WI
Physician Assistant, Surgical (PA-C) in Appleton, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2016). 103 Medicare patients in 2024, $9,612 paid; all of their 183 Part D prescriptions were generic.
Overview
| NPI | 1801247176 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 28, 2016 |
| Last updated in NPPES | Sep 1, 2022 |
| Certified by provider | Sep 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 4030 | WI |
| Physician Assistant, Surgical | 363AS0400X | 085-005846 | IL |
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 | 103 |
|---|---|
| Services billed | 367 across 34 procedure codes |
| Paid by Medicare | $9,612 |
Part D prescriptions in 2024
| Prescriptions (claims) | 183 · 183 30-day fills |
|---|---|
| Patients | 133 |
| Total drug cost | $940.06 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Physician Assistant |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Regional Med Ctr - NeenahNeenah, 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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