Shannon L. Koss, PAC
NPI 1861583007ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (PAC) with Bellin Memorial Hospital Inc, practicing in Appleton, Wisconsin. 161 Medicare patients in 2024, $14,704 paid; all of their 1,627 Part D prescriptions were generic. Zimmer Biomet Holdings, Inc. reported $111.10 in payments in 2024, mostly food and beverage. Lists Bellin Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1861583007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Jan 18, 2022 |
| Certified by provider | Jan 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1604 | 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 | 161 |
|---|---|
| Services billed | 257 across 17 procedure codes |
| Paid by Medicare | $14,704 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,627 · 1,783 30-day fills |
|---|---|
| Patients | 416 |
| Total drug cost | $17,228 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Bellin Memorial Hospital IncGreen Bay, WI · 697 clinicians
Hospital affiliations
- Bellin Memorial HospitalGreen Bay, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
- 2024$111.10 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $111.10 | 1 |
What the 2024 payments were for
- Food and Beverage$111.10 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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