Kellie Goedken Den Hartog, PA-C
NPI 1992261002ActiveIndividual· Family Medicine· Rock Rapids, IA
Family Medicine (PA-C) with Avera McKennan and 1 other group, practicing in Rock Rapids, Iowa. Their prescriptions cost Medicare Part D more than their services did: $109,145 for 1,911 claims, against $549.36 paid for services in 2024. Astellas Pharma US Inc reported $124.98 in payments in 2025, mostly education. Lists Avera McKennan Hospital & University Health Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1992261002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Feb 13, 2019 |
| Last updated in NPPES | Feb 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 095185 | IA |
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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 17 across 10 procedure codes |
| Paid by Medicare | $549.36 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,911 · 3,117 30-day fills |
|---|---|
| Patients | 182 |
| Total drug cost | $109,145 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Avera McKennanSioux Falls, SD · 959 clinicians
- Sanford Health NetworkTracy, MN · 351 clinicians
Hospital affiliations
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
- Avera Merrill Pioneer HospitalRock Rapids, IA
Other facilities
- Avera @ HomeHome health agency · Estherville, IA
Industry payments (Open Payments)
- 2025$124.98 · 2 payments from 1 company
- 2024$19.98 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $124.98 | 2 |
What the 2025 payments were for
- Education$124.98 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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