Kirsten D Pethan , PA-C
Physician Assistant โข Appleton, WI
145 W Calumet St
Appleton, WI 549154934
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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Kirsten Pethan is listed in NPPES under Physician Assistant.
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NPI assigned on August 1, 2012; this date does not establish years in practice.
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Published CMS data list 91 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99213 โ Established patient outpatient office visit: 41 service units.
- 99214 โ Established patient outpatient office visit: 35 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 73 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Prednisone โ 28 prescription fills, including refills.
- Azithromycin โ 20 prescription fills, including refills.
- Cefdinir โ 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 69 in 2017 to 91 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2022.
Practice Location & Contact Primary Location
145 W Calumet St
Appleton, WI 549154934
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $6,703 in 2022
The total amount Medicare approved for these services in 2022. 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, 2022.
Paid by Medicare
About $4,792 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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, 2022.
30-day fills
73 standardized 30-day fills in 2022
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
$557 in 2022
The total cost of these prescriptions in 2022, 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, 2022.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $21.73 in 2025
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 2025.
NPI first issued
2012
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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
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.
Enrolled in Medicare (PECOS)
Kirsten Pethan 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 Kirsten Pethan as eligible to order or refer durable medical equipment (DME) 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
Comparisons use 2024 data. The latest CMS data for Kirsten Pethan are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Kirsten Pethan are from 2022.
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 increased 32% from 69 in 2017 to 91 in 2022.
- 2017: 69
- 2018: 67
- 2019: 15
- 2021: 46
- 2022: 91
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Medicare-allowed amount
Medicare-allowed amount increased 30% from $5,167 in 2017 to $6,703 in 2022.
- 2017: $5,167
- 2018: $4,980
- 2019: $1,308
- 2021: $3,751
- 2022: $6,703
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Paid by Medicare
Paid by Medicare increased 16% from $4,131 in 2017 to $4,792 in 2022.
- 2017: $4,131
- 2018: $3,967
- 2019: $1,030
- 2021: $2,296
- 2022: $4,792
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2017 to 73 in 2022.
- 2017: 12
- 2022: 73
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30-day fills
30-day fills went from 12 in 2017 to 73 in 2022.
- 2017: 12
- 2022: 73
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Part D drug cost
Part D drug cost went from $57 in 2017 to $557 in 2022.
- 2017: $57
- 2022: $557
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2025 only.
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2025), 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 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $21.73.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $21.73 |
Source: CMS Open Payments, program year 2025, 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 2016โ2021 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, 2017โ2022; 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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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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41 | 41 | $244.10 | $72.95 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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35 | 35 | $361.85 | $104.80 |
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36415
Insertion of needle into vein for collection of blood sample
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15 | 15 | $16.05 | $2.96 |
Source: CMS Part B by Provider and Service, 2022; 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 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 28 | 189 | $95.31 | 28 |
| Azithromycin | Azithromycin | 20 | 98 | $131.27 | 20 |
| Cefdinir | Cefdinir | 13 | 86 | $170.40 | 13 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 80 | $160.26 | 12 |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-11-05NUCC 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
I20201215000169
WI
1254582976
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Physician Assistant
Physician Assistant
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 145 W CALUMET ST, APPLETON, WI 549154934 (Tel: 9209674141)
Registered at 145 W CALUMET ST, APPLETON, WI 549154934
Physician Assistant (license number reported to NPPES: WI 5206)
Registered at 3925 N GATEWAY DR, APPLETON, WI 549137863 (Tel: 9208306877)
Registered at 3 NEENAH CTR, NEENAH, WI 549563070
Physician Assistant (license number reported to NPPES: MN 11202)
Registered at 2500 E CAPITOL DR, APPLETON, WI 549118735 (Tel: 9208306877)
Physician Assistant (license number reported to NPPES: WI 5206)
NPI status registered as active in NPPES database
Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)
Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)
Recorded as KIRSTEN PETHAN, PA-C
Physician Assistant (license number reported to NPPES: MN 11202)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Appleton
- Amanda Ujazdowski, PA-C
- Brianna Dostalek, PA
- Amber Runnoe, PA-C
- Nichol Frank, PA-C
- Chloe Pustina, PA-C
- Heather Books, PA
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Directory navigation, in NPI number order.
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Mailing Address
145 W Calumet St
Appleton, WI 549154934