Shannon L Koss , PA-C
Physician Assistant • Appleton, WI
1531 S Madison St
Appleton, WI 54915
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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NPI assigned on September 27, 2006; this date does not establish years in practice.
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Published CMS data list 226 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 104 service units.
- 27447 — Replacement of knee joint, both sides of knee: 48 service units.
- 20610 — Aspiration and/or injection of fluid from large joint: 35 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,606 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl — 404 prescription fills, including refills.
- Tramadol Hcl — 384 prescription fills, including refills.
- Celecoxib — 274 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% 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 60% 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 – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 168 in 2021 to 226 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2024.
Practice Location & Contact Primary Location
1531 S Madison St
Appleton, WI 54915
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Bellin Memorial Hospital Inc. 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
2003
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
161 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 – by Provider, 2024.
Medicare-allowed amount
About $19,439 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 – by Provider and Service, 2024.
Paid by Medicare
About $13,488 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 – by Provider and Service, 2024.
30-day fills
1,758 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
$16,582 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $111.10 in 2024
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 2024.
Years since graduation
23 years (graduated 2003)
CMS Doctors and Clinicians data list 2003 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
2006
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, “Does your provider accept Medicare as full payment?”
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)
Shannon Koss 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 Shannon Koss 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 60% 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 60% 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 75% 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 70% 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 70% 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 65% 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 85% 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 85% 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
A higher Part D drug cost than 70% 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.
A higher Part D drug cost than 65% of 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 increased 35% from 168 in 2021 to 226 in 2024.
- 2021: 168
- 2022: 316
- 2023: 251
- 2024: 226
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Medicare-allowed amount
Medicare-allowed amount increased 22% from $15,898 in 2021 to $19,439 in 2024.
- 2021: $15,898
- 2022: $25,618
- 2023: $22,302
- 2024: $19,439
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Paid by Medicare
Paid by Medicare varied from year to year: $12,420 in 2021 and $13,488 in 2024.
- 2021: $12,420
- 2022: $18,139
- 2023: $16,181
- 2024: $13,488
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 993% from 147 in 2020 to 1,606 in 2024.
- 2020: 147
- 2021: 657
- 2022: 1,124
- 2023: 1,252
- 2024: 1,606
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30-day fills
30-day fills increased 1096% from 147 in 2020 to 1,758 in 2024.
- 2020: 147
- 2021: 671
- 2022: 1,150
- 2023: 1,314
- 2024: 1,758
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Part D drug cost
Part D drug cost went from $703 in 2020 to $16,582 in 2024.
- 2020: $703
- 2021: $6,837
- 2022: $12,430
- 2023: $14,251
- 2024: $16,582
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $189.77 in 2023 to $111.10 in 2024.
- 2023: $189.77
- 2024: $111.10
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $111.10.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Persona | General | $111.10 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 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 – by Provider and Service data, 2021–2024; 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 |
|---|---|---|---|---|
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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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104 | 85 | $169.60 | $56.18 |
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27447
Replacement of knee joint, both sides of knee
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48 | 44 | $7396.17 | $156.57 |
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20610
Aspiration and/or injection of fluid from large joint
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35 | 26 | $358.81 | $45.63 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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16 | 16 | $334.39 | $108.07 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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12 | 11 | $7239.25 | $156.99 |
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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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11 | 11 | $230.14 | $79.19 |
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 |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 404 | 2,863 | $1,845.49 | 218 |
| Tramadol Hcl | Tramadol Hcl | 384 | 2,679 | $1,172.73 | 219 |
| Celecoxib | Celecoxib | 274 | 10,291 | $3,993.13 | 195 |
| Amoxicillin | Amoxicillin | 169 | 1,096 | $254.50 | 114 |
| Pantoprazole Sodium | Pantoprazole Sodium | 153 | 6,342 | $1,061.09 | 141 |
| Enoxaparin Sodium | Enoxaparin Sodium | 75 | 1,364 | $7,262.95 | 66 |
| Clindamycin Hcl | Clindamycin Hcl | 49 | 94 | $62.40 | 35 |
| Ondansetron Odt | Ondansetron | 39 | 279 | $446.85 | 32 |
| Meloxicam | Meloxicam | 21 | 762 | $101.35 | 15 |
| Cefadroxil | Cefadroxil | 20 | 294 | $256.49 | 19 |
| Hydromorphone Hcl | Hydromorphone Hcl | 18 | 161 | $124.76 | 17 |
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: 2022-01-18NUCC 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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20051205000234
WI
1052331121
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
Bellin Memorial Hospital Inc
744 S Webster Ave, Green Bay, WI 543013505
Bellin Memorial Hospital Inc
2020 S Webster Ave, Green Bay, WI 543013505
Bellin Memorial Hospital Inc
933 Waube Ln, Green Bay, WI 543045521
Phone: 9205489500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine - Sports Medicine
Doctor of Medicine (M.D.)
Podiatrist - Foot & Ankle Surgery
Doctor of Podiatric Medicine
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Podiatrist - Foot & Ankle Surgery
Doctor of Podiatric Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 22487, GREEN BAY, WI 543052487 (Tel: 9204457222)
Registered at 744 S WEBSTER AVE 7TH FLOOR, GREEN BAY, WI 543013505 (Tel: 9204337864)
NPI status registered as active in NPPES database
Registered at 1531 S MADISON ST, APPLETON, WI 54915 (Tel: 9209963700)
Registered at 1531 S MADISON ST, APPLETON, WI 54915 (Tel: 9209963700)
Recorded as SHANNON KOSS, PAC
Physician Assistant (license number reported to NPPES: WI 1604)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Appleton
- Heather Books, PA
- Daniel Zajicek, PA-C
- Shannon Huettl, PA
- Collin Kandler, PA-C
- Julie Vajda, PA-C
- Nicholas Brice, PA
Mailing Address
Po Box 22487
Green Bay, WI 543052487
Phone: 9204457222