Blayne S. Kozelka, PA-C
NPI 1871078667ActiveIndividual· Physician Assistant, Surgical· La Crosse, WI
Physician Assistant, Surgical (PA-C) with Gundersen Clinic Ltd, practicing in La Crosse, Wisconsin. 107 Medicare patients in 2024, $11,532 paid; nearly all of their 74 Part D prescriptions were generic (97%). Vertex Pharmaceuticals Incorporated was the largest of 2 companies reporting payments in 2025, $149.47 in all, mostly food and beverage. Lists Gundersen Lutheran Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1871078667 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 27, 2018 |
| Last updated in NPPES | Oct 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 4522 | WI |
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 | 107 |
|---|---|
| Services billed | 156 across 34 procedure codes |
| Paid by Medicare | $11,532 |
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 74 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $1,484 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Gundersen Clinic LtdOnalaska, WI · 418 clinicians
Hospital affiliations
- Gundersen Lutheran Medical CenterLa Crosse, WI
- Veterans Memorial HospitalWaukon, IA
Industry payments (Open Payments)
- 2025$149.47 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $124.50 | 1 |
| Ethicon US, LLC | $24.97 | 1 |
What the 2025 payments were for
- Food and Beverage$149.47 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in La Crosse
- 1184966368
- 1255784138
- 1336495563
- 1356664346
- 1366002479
- 1396321352
- 1598294563
- 1609841378
- 1649762287
- 1770091969
- 1801013669
- 1801557053
All 39 surgical physician assistants in La Crosse · All surgical physician assistants in Wisconsin