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Cally F. Gordon-Haessly, PA-C

NPI 1831754381ActiveIndividual· Physician Assistant· Weston, WI

Physician Assistant (PA-C) in Weston, Wisconsin, with an NPI issued in May 2019. In 2024 Medicare paid $11,860 for 146 patients, and Part D covered 205 of their prescriptions, 83% of them generic.

Overview

NPI1831754381
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 9, 2019
Last updated in NPPESFeb 11, 2025
Certified by providerFeb 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X—WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients146
Services billed172 across 10 procedure codes
Paid by Medicare$11,860

Part D prescriptions in 2024

Prescriptions (claims)205 · 214 30-day fills
Patients127
Total drug cost$10,360
Generic share83% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Weston

All 16 physician assistants in Weston · All physician assistants in Wisconsin