Thomas Tackman, MD
NPI 1902802416ActiveIndividual· Internal Medicine· Fort Atkinson, WI
Internal Medicine (MD) in Fort Atkinson, Wisconsin, trained at Medical College of Wisconsin (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $1,111,321 for 14,880 claims, against $420.49 paid for services in 2024.
Overview
| NPI | 1902802416 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 21, 2005 |
| Last updated in NPPES | Dec 17, 2025 |
| Certified by provider | Dec 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 30509 | 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 - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 32 across 10 procedure codes |
| Paid by Medicare | $420.49 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14,880 · 29,010 30-day fills |
|---|---|
| Patients | 948 |
| Total drug cost | $1,111,321 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | General Surgery |
Medical group
- Fort Healthcare IncFort Atkinson, WI · 155 clinicians
Hospital affiliations
- Fort Memorial HospitalFort Atkinson, WI
- University of Wi Hospitals & Clinics AuthorityMadison, WI
Other facilities
- Commonheart Home HealthHome health agency · Waukesha, WI
- Agrace HospicecareHospice · Madison, WI
- Rainbow Hospice CareHospice · Jefferson, 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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