Andrew G Koopman
Physician Assistant โข Appleton, WI
1818 N Meade St
Appleton, WI 549113454
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Andrew Koopman is listed in NPPES under Physician Assistant.
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NPI assigned on September 13, 2017; this date does not establish years in practice.
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Published CMS data list 465 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 256 service units.
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 113 service units.
- 99239 โ Hospital discharge day management: 96 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 186 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Potassium Chloride โ 36 prescription fills, including refills.
- Atorvastatin Calcium โ 25 prescription fills, including refills.
- Furosemide โ 25 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Appleton, WI (2024, 63 clinicians with data). Median for this group: 179. Middle half: 85 to 431.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: 151. Middle half: 66 to 327.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 582 in 2020 to 465 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1818 N Meade St
Appleton, WI 549113454
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Great Falls, MT; Neenah, WI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Thedacare, Incorporated. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
179 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $36,869 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $28,988 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
190 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$6,037 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $12.68 in 2022
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2022.
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Andrew Koopman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Andrew Koopman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Appleton and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Appleton, WI (2024, 63 clinicians with data). Median for this group: 179. Middle half: 85 to 431.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: 151. Middle half: 66 to 327.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Appleton, WI (2024, 63 clinicians with data). Median for this group: $11,730. Middle half: $6,898 to $19,187.
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $11,599. Middle half: $5,418 to $21,463.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Appleton, WI (2024, 63 clinicians with data). Median for this group: $8,613. Middle half: $5,126 to $13,906.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $8,471. Middle half: $3,957 to $15,807.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Appleton, WI (2024, 78 clinicians with data). Median for this group: 208. Middle half: 85 to 732.
Close to the middle for clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: 195. Middle half: 67 to 674.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Appleton, WI (2024, 78 clinicians with data). Median for this group: $2,080. Middle half: $568 to $62,081.
Close to the middle for clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: $2,439. Middle half: $549 to $63,260.
107 active clinicians are listed under Physician Assistant with a practice address in Appleton, WI (3,476 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Appleton
6.5% of these 107 clinicians have the CMS telehealth indicator.
81.3% of these 107 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 20% from 582 in 2020 to 465 in 2024.
- 2020: 582
- 2021: 823
- 2022: 627
- 2023: 471
- 2024: 465
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $38,943 in 2020 and $36,869 in 2024.
- 2020: $38,943
- 2021: $46,316
- 2022: $39,954
- 2023: $43,142
- 2024: $36,869
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Paid by Medicare
Paid by Medicare stayed about the same: $31,543 in 2020 and $28,988 in 2024.
- 2020: $31,543
- 2021: $37,425
- 2022: $32,918
- 2023: $34,382
- 2024: $28,988
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 221% from 58 in 2020 to 186 in 2024.
- 2020: 58
- 2021: 12
- 2022: 23
- 2023: 11
- 2024: 186
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30-day fills
30-day fills increased 217% from 60 in 2020 to 190 in 2024.
- 2020: 60
- 2021: 12
- 2022: 29
- 2023: 13
- 2024: 190
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Part D drug cost
Part D drug cost went from $257 in 2020 to $6,037 in 2024.
- 2020: $257
- 2021: $113
- 2022: $250
- 2023: $80
- 2024: $6,037
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $12.52 in 2021 to $12.68 in 2022.
- 2021: $12.52
- 2022: $12.68
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $12.68.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
XARELTO | General | $12.68 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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256 | 125 | $140.15 | $65.25 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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113 | 82 | $197.58 | $98.02 |
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99239
Hospital discharge day management, more than 30 minutes
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96 | 94 | $240.37 | $94.67 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Potassium Chloride | Potassium Chloride | 36 | 679 | $513.46 | 11 |
| Atorvastatin Calcium | Atorvastatin Calcium | 25 | 552 | $203.51 | โ |
| Furosemide | Furosemide | 25 | 440 | $109.77 | โ |
| Spironolactone | Spironolactone | 18 | 293 | $134.36 | โ |
| Nadolol | Nadolol | 18 | 338 | $863.43 | โ |
| Sertraline Hcl | Sertraline Hcl | 16 | 226 | $128.82 | โ |
| Prednisone | Prednisone | 14 | 60 | $24.20 | 13 |
| Carvedilol | Carvedilol | 12 | 345 | $136.39 | โ |
| Eliquis | Apixaban | 11 | 198 | $3,826.84 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 11 | 304 | $96.22 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-07-17NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20250729003919
WI
0840556221
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Thedacare, Incorporated
4480 W Spencer St, Appleton, WI 54915
Phone: 9207384800
Thedacare, Incorporated
600 N Westhaven Dr, Oshkosh, WI 549046926
Phone: 9207250077
Thedacare, Incorporated
250 W 6th Ave, Oshkosh, WI 549025910
Phone: 9202375000
Thedacare, Incorporated
755 W Johnson St, Fond Du Lac, WI 549352089
Phone: 9207318900
Thedacare, Incorporated
1405 S Mill St, New London, WI 549612155
Phone: 9208315050
Thedacare, Incorporated
130 2nd St, Neenah, WI 549562883
Phone: 9207250077
Thedacare, Incorporated
670 Country Rd A, Green Lake, WI 549418608
Phone: 9202940100
Thedacare, Incorporated
130 2nd St, Neenah, WI 549562883
Phone: 9207292030
Thedacare, Incorporated
1405 Mill St, New London, WI 549612155
Phone: 9205312000
Thedacare, Incorporated
225 Memorial Dr, Berlin, WI 549231243
Secondary Practice Locations
1401 25th St S
Great Falls, MT 594055183
Phone: 4067318885
130 2nd St
Neenah, WI 549562883
Phone: 9207357645
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1818 N MEADE ST, APPLETON, WI 549113454 (Tel: 9207357645)
Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9208305900)
NPI status registered as active in NPPES database
Registered at 1401 25TH ST S, GREAT FALLS, MT 594055183 (Tel: 4067318885)
Registered at 566 SUNRISE LN, MARKESAN, WI 539468568 (Tel: 6985122967)
Recorded as ANDREW KOOPMAN
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Appleton
- Alexander Engel, PHYSICIAN ASSISTANT
- Hanna Sippel, PA
- Todd Mcniesh, MPAS, PA-C
- Tiffany Poeschel, PA
- Elizabeth Clark, MSC, PA-C
- Julie Vajda, PA-C
Mailing Address
3 Neenah Ctr
Neenah, WI 549563070
Phone: 9208305900