Brenda K. Balthazor, PA
Medical Physician Assistant · Wausau, WI
Brenda K. Balthazor, PA is a medical physician assistant with a practice address in Wausau, Wisconsin, and NPI 1851316871, issued on Jul 12, 2006. Check the license (Wisconsin 186923, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Brenda K. Balthazor
- Credential
- PA
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 186923 WI
Self-reported in NPPES; status is on the state search - Practice location
- 512 S 28TH Ave, Wausau, WI 54401
- Phone
- (715) 847-2021
- Enumerated
- Jul 12, 2006
- Record last updated
- Apr 8, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (715) 847-2325
- Medicaid ID
- 42871300 WI
- Medicare enrollment
- Enrolled (PECOS I20050810000355); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 687 in Wisconsin → Look up another NPI →
Also registered at 512 S 28TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Morgan Anderson, AUDAudiologist1881384188
- Mollie Berg, PA-CMedical Physician Assistant1124352604
- David Edmondson, DOAllergy Physician1124079033
- Juliana GullicksonPhysician Assistant1699568436
- Todd Hostetler, M.D.Allergy & Immunology Physician1619015088
- Nikolene JohnsonPhysician Assistant1104363993
Verify Brenda K. Balthazor in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 186923Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
72% fewer Medicare Part D claims than the average medical physician assistant in 2024
327 Medicare Part D claims for 179 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D.
Most prescribed
- Pantoprazole Sodium35 claims
- Amoxicillin-Clavulanate Potass29 claims
- Ciprofloxacin-Dexamethasone28 claims
- Fluticasone Propionate28 claims
- Prednisone26 claims
- Cefdinir20 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 83.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $92.27
4 payments; by number, the most common kind was food and beverage; the largest payer was Takeda Pharmaceuticals U.S.A., Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.Stevens Point, WI
- Ent And Allergy Associates SCWausau, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Brenda K. Balthazor among 687 medical physician assistant records in Wisconsin
Brenda K. Balthazor, PA is one of 687 medical physician assistant records with a practice address in Wisconsin. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 72% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2005 · median 2016 among the 479 with a school on file
- Record last updated2020 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Wisconsin
There are 687 medical physician assistant records in Wisconsin.
All 687 in Wisconsin → Every provider in Wausau → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Mollie Berg, PA-CWausau, WI 544011124352604
- Kimberly Brown, PA-CWausau, WI 544011053748855
- Patrick DrechslerWausau, WI 544011942852504
- Lauren Duffy, PAWausau, WI 544011902504087
- Aaron Follensbee, PA-CWausau, WI 544011477905909
- Sarah Jaeger, PAWausau, WI 544011942225339
- Jacklyn Knoll, PA-CWausau, WI 544011699087411
- Daniel Line, P.A.-CWausau, WI 544011649574898
Common questions
What is Brenda K. Balthazor, PA's NPI number?
Brenda K. Balthazor, PA's National Provider Identifier (NPI) is 1851316871, issued on Jul 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Brenda K. Balthazor, PA located?
The NPPES record lists a practice address at 512 S 28TH Ave, Wausau, WI, 54401. Phone: (715) 847-2021. Providers update this record themselves, so call before visiting.
How can I verify Brenda K. Balthazor, PA's license?
NPPES lists Wisconsin license number 186923, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
How much does Brenda K. Balthazor, PA prescribe under Medicare Part D?
In 2024, Brenda K. Balthazor, PA had 327 Medicare Part D claims for 179 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
What is Brenda K. Balthazor, PA's MIPS final score?
The 2023 MIPS final score is 83.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.