Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jared Matthew Mclister , PA-C

Physician Assistant โ€ข Appleton, WI

Active NPI 1679805105 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2400 E Capitol Dr
Appleton, WI 549118728

Call 9208315050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2400 E Capitol Dr

Appleton, WI 549118728

Telephone 9208315050
Fax 9207386400
Organization at the Same NPPES Address or Phone
Thedacare Regional Medical Center - Appleton, Inc. Facility NPI 1457023772

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

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

Medical School

Sanford School Of Medicine Of University Of South Dakota

Graduation Year

2009

Medicare patients

120 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $15,502 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.

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 $11,676 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

470 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

$3,060 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 $14.84 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.

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.

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional 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

2010

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jared Mclister 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jared Mclister 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.

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.

Guide: What ordering and referring status means

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 90% 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 85% 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 60% 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 60% 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 60% 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 60% 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

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Appleton, WI (2024, 78 clinicians with data). Median for this group: 208. Middle half: 85 to 732.

More Part D prescriptions than 65% of 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

Close to the middle for 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.

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

Open Payments ยท Program Year 2022
Disclosure Year:

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $14.84.

Manufacturer Payment Nature Product Type Amount ($)
Ethicon Inc.
Food and Beverage
In-kind items and services
STRATAFIX General $14.84

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 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, 2017โ€“2024; 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
520 41 $5.52 $0.99
20610 Aspiration and/or injection of fluid from large joint
54 28 $468.43 $53.26
27130 Replacement of thigh bone and hip joint with prosthesis
28 28 $16077.86 $156.51
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
26 21 $518.08 $79.77
27447 Replacement of knee joint, both sides of knee
21 20 $12471.19 $160.13
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
17 14 $192.59 $72.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $304.75 $88.38

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 284 1,699 $1,691.62 175
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 84 412 $778.00 62
Tramadol Hcl Tramadol Hcl 63 422 $207.65 45
Prednisone Prednisone 23 309 $45.74 23
Ondansetron Odt Ondansetron 16 166 $336.86 16

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: 2025-01-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 4316-23

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 10698

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20180525000362

Enrollment State Jurisdiction

WI

PECOS Control ID

7315082757

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

1405 Mill St, New London, WI 549612155

Phone: 9205312000

Thedacare, Incorporated

1405 S Mill St, New London, WI 549612155

Phone: 9208315050

Thedacare, Incorporated

2400 E Capitol Dr, Appleton, WI 549118728

Phone: 9207202300

Thedacare, Incorporated

4480 W Spencer St, Appleton, WI 54915

Phone: 9207384800

Thedacare, Incorporated

1818 N Meade St Room, Appleton, WI 549113454

Phone: 9207303383

Thedacare, Incorporated

900 E Grant St, Appleton, WI 549113454

Phone: 9208315050

Thedacare, Incorporated

1818 N Meade St, Appleton, WI 549113454

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Roopa Achuri

Physician Assistant

NPI 1225531635
Catherine Allen , MSN, APNP

Nurse Practitioner - Family

NPI 1952971285

Master of Science in Nursing, Advanced Practice Nurse Prescriber

NPI 1073279816

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Jessica Arneson , PA

Physician Assistant

NPI 1790177681

Physician Assistant

Chantal Rea Bauer

Physical Therapist

NPI 1679207591
Jessica Baumbach , APNP

Nurse Practitioner

NPI 1285854950

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location January 28, 2025

Registered at 2400 E CAPITOL DR, APPLETON, WI 549118728 (Tel: 9208315050)

๐Ÿ“
Updated Business Mailing Address January 28, 2025

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9208305900)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2025

Physician Assistant (license number reported to NPPES: MN 10698)

๐Ÿ“
Updated Business Mailing Address May 08, 2018

Registered at 2105 E ENTERPRISE AVE, STE 112, APPLETON, WI 549137862 (Tel: 9207313111)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2018

Physician Assistant (license number reported to NPPES: WI 4316-23)

โœ…
NPI Profile Active September 15, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 15, 2011

Registered at 111 17TH AVE E, STE 101, ALEXANDRIA, MN 563083734 (Tel: 3207621144)

๐Ÿ“
Business Mailing Address (Initial Record) September 15, 2011

Registered at 111 17TH AVE E STE, STE 101, ALEXANDRIA, MN 563083734 (Tel: 3207621144)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 15, 2011

Recorded as JARED MCLISTER, PAC

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2011

Physician Assistant (license number reported to NPPES: MN 10698)

๐ŸŸข
Initial NPI Registration & Enumeration February 09, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679805105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2010
Last Update: January 28, 2025
Sole Proprietor: No

Other Physician Assistants in Appleton

All Physician Assistants in Appleton

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9208305900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.