Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Amanda J Koth , PA-C

Physician Assistant • Milwaukee, WI

Active NPI 1811558612 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2801 W Kinnickinnic River Pkwy Ste 880
Milwaukee, WI 532153678

Call 4146493400 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

2801 W Kinnickinnic River Pkwy Ste 880

Milwaukee, WI 532153678

Telephone 4146493400
Organization at the Same NPPES Address or Phone
Lakeshore Medical Clinic, Llc Facility NPI 1003861188

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: Aurora Medical Group, 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

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2019

Medicare patients

83 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 – by Provider, 2024.

Medicare-allowed amount

About $7,289 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 – by Provider and Service, 2024.

Paid by Medicare

About $5,807 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 – by Provider and Service, 2024.

30-day fills

351 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

$37,368 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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2023

All general payments: $181.47 across 3 records.

By nature of payment

  • Food and Beverage: $116.48 across 2 records.
  • Education: $64.99 across 1 record.

Reporting-company totals

  • Janssen Pharmaceuticals, Inc: $97.79 across 1 record.
  • AstraZeneca Pharmaceuticals LP: $83.68 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 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

2019

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, “Does your provider accept Medicare as full payment?”

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)

Amanda Koth 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 Amanda Koth 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 Milwaukee and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Milwaukee, WI (2024, 421 clinicians with data). Median for this group: 92. Middle half: 49 to 184.

Fewer 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

Close to the middle for clinicians listed under Physician Assistant in Milwaukee, WI (2024, 421 clinicians with data). Median for this group: $8,164. Middle half: $3,760 to $13,659.

A lower Medicare-allowed amount than 65% 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

Close to the middle for clinicians listed under Physician Assistant in Milwaukee, WI (2024, 421 clinicians with data). Median for this group: $6,071. Middle half: $2,707 to $10,602.

A lower 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 60% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 383 clinicians with data). Median for this group: 102. Middle half: 43 to 340.

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 75% of clinicians listed under Physician Assistant in Milwaukee, WI (2024, 383 clinicians with data). Median for this group: $1,638. Middle half: $307 to $32,044.

A higher Part D drug cost than 70% 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.

821 active clinicians are listed under Physician Assistant with a practice address in Milwaukee, WI (3,476 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Milwaukee

11.2% of these 821 clinicians have the CMS telehealth indicator.

67.2% of these 821 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 (2023), 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

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $181.47.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $97.79
AstraZeneca Pharmaceuticals LP
Education
In-kind items and services
ATACAND General $64.99
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $18.69

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 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, 2020–2024; 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
83 54 $390.00 $61.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
23 17 $525.00 $93.40

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 · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Metoprolol Succinate Metoprolol Succinate 34 2,260 $581.14 16
Furosemide Furosemide 25 1,287 $203.02 12
Entresto Sacubitril/Valsartan 24 984 $20,944.52 —
Potassium Chloride Potassium Chloride 21 712 $363.50 11
Eliquis Apixaban 17 748 $14,718.58 —
Atorvastatin Calcium Atorvastatin Calcium 16 1,318 $219.47 —
Clopidogrel Clopidogrel Bisulfate 15 1,118 $66.50 —
Carvedilol Carvedilol 14 960 $99.93 —
Losartan Potassium Losartan Potassium 12 680 $34.53 —
Torsemide Torsemide 12 358 $137.16 —

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: 2025-09-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 4709-23

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.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100092114 (WI)

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

I20190815003076

Enrollment State Jurisdiction

WI

PECOS Control ID

1355678178

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

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

2900 W Oklahoma Ave, Milwaukee, WI 532154330

Phone: 4146465410

Aurora Medical Group, Inc.

2801 W Kinnickinnic River Pkwy, Milwaukee, WI 532153669

Phone: 4143858600

Clinicians Sharing This Practice Address or Phone

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

1 listed
Dr. Muhammad Jan , MD

Internal Medicine - Interventional Cardiology

NPI 1912956178

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address September 30, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

👤
Provider Name / Credentials Updated October 09, 2024

Recorded as AMANDA KOTH, PA-C

📍
Updated Practice Location August 27, 2019

Registered at 2801 W KINNICKINNIC RIVER PKWY STE 880, MILWAUKEE, WI 532153678 (Tel: 4146493370)

📍
Updated Business Mailing Address August 27, 2019

Registered at 2801 W KINNICKINNIC RIVER PKWY STE 880, MILWAUKEE, WI 532153678 (Tel: 4146493370)

✅
NPI Profile Active June 24, 2019

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 24, 2019

Registered at 2900 W OKLAHOMA AVE, MILWAUKEE, WI 532154330 (Tel: 4146496000)

📍
Business Mailing Address (Initial Record) June 24, 2019

Registered at 1800 CEDAR ST, GRAFTON, WI 530242130 (Tel: 2623880623)

👤
Provider Name / Credentials (Initial Record) June 24, 2019

Recorded as AMANDA LORGE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2019

Physician Assistant (license number reported to NPPES: WI 4709-23)

🟢
Initial NPI Registration & Enumeration June 24, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811558612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2019
Last Update: September 30, 2025
Sole Proprietor: No

Other Physician Assistants in Milwaukee

All Physician Assistants in Milwaukee

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.