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Active NPI 1861583007 Individual Practitioner Female Practitioner

Shannon L Koss , PA-C

Physician Assistant • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Koss, PA-C is a certified Physician Assistant practicing in Appleton, WI. With approximately 23 years of clinical experience since completing medical education in 2003, Shannon Koss delivers high-quality medical care to the local community at 1531 S MADISON ST.

Shannon Koss is affiliated with Bellin Memorial Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, replacement of knee joint, both sides of knee, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1531 S Madison St

Appleton, WI 54915

Telephone 9209963700
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Appleton, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +11.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
108 Specialists

Practicing in Appleton, WI (3517 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
96.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koss (23 Years) 23 Yrs
Appleton Specialty Average (11.5 Years) 11.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
104 85 $169.60 $56.18
27447 Replacement of knee joint, both sides of knee
48 44 $7396.17 $156.57
20610 Aspiration and/or injection of fluid from large joint
35 26 $358.81 $45.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $334.39 $108.07
27130 Replacement of thigh bone and hip joint with prosthesis
12 11 $7239.25 $156.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $230.14 $79.19

Medical Specialties & State Licenses

CMS Verified: 2022-01-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1604

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

Medicaid State Provider ID
41978400 (WI)

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Thomas Hoeft , DO

Orthopaedic Surgery

NPI 1053314906

Doctor of Osteopathic Medicine (D.O.)

Dr. Lee Hash , MD

Orthopaedic Surgery

NPI 1063521714

Doctor of Medicine (M.D.)

Dr. Alejandro Garcia , MD

Family Medicine - Sports Medicine

NPI 1073703153

Doctor of Medicine (M.D.)

Terry Mulholland , PT

Physical Therapist

NPI 1215924972

Physical Therapist

Dr. David Miller , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1407825029

Doctor of Podiatric Medicine

Dr. Richard Hammond , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1457328320

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 18, 2022

Registered at PO BOX 22487, GREEN BAY, WI 543052487 (Tel: 9204457222)

📍
Updated Business Mailing Address March 17, 2021

Registered at 744 S WEBSTER AVE 7TH FLOOR, GREEN BAY, WI 543013505 (Tel: 9204337864)

NPI Profile Active September 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2008

Registered at 1531 S MADISON ST, APPLETON, WI 54915 (Tel: 9209963700)

📍
Updated Business Mailing Address September 04, 2008

Registered at 1531 S MADISON ST, APPLETON, WI 54915 (Tel: 9209963700)

👤
Provider Name / Credentials Updated September 04, 2008

Recorded as SHANNON KOSS, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2008

Physician Assistant (License #1604 in WI)

🟢
Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861583007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: January 18, 2022
Sole Proprietor: No

Mailing Address

Po Box 22487

Green Bay, WI 543052487

Phone: 9204457222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.