Kristin Marie Balthazor, PA-C, MPAS
Physician Assistant · Sheboygan, WI
Kristin Marie Balthazor, PA-C, MPAS is a physician assistant with a practice address in Sheboygan, Wisconsin, and NPI 1649422619, issued on Oct 21, 2008. Check the license (Wisconsin 4402-23, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kristin Marie Balthazor
- Credential
- PA-C, MPAS
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 4402-23 WI
085.003246 IL
Self-reported in NPPES; status is on the state search - Practice location
- 2124 Kohler Memorial Dr, Sheboygan, WI 53081
- Phone
- (833) 821-7246
- Enumerated
- Oct 21, 2008
- Record last updated
- Mar 13, 2023
- Medicare enrollment
- Enrolled (PECOS I20220201000452); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 3,475 in Wisconsin → Look up another NPI →
Also registered at 2124 Kohler Memorial Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brant Balthazor, MS, PA-CPhysician Assistant1548640774
Verify Kristin Marie 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 4402-23Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.3 times the Medicare Part D claims of the average physician assistant in 2024
3,568 Medicare Part D claims for 384 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 2,010 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen894 claims
- Gabapentin257 claims
- Tizanidine Hcl205 claims
- Pregabalin184 claims
- Morphine Sulfate Er158 claims
- Tramadol Hcl141 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): 97.3 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: $555.97
26 payments; by number, the most common kind was food and beverage; the largest payer was Collegium Pharmaceutical, Inc. The 64,719 providers of this specialty with any payment received $841.65 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 one group practice
- Wisconsin Spine And Pain SCSheboygan, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kristin Marie Balthazor among 3,475 physician assistant records in Wisconsin
Kristin Marie Balthazor, PA-C, MPAS is one of 3,475 physician assistant records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 28% of them.
- NPI issued2008 · 28% of these records are older, 69% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2006 · median 2016 among the 2,491 with a school on file
- Record last updated2023 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
43 physician assistant records list a practice address in Sheboygan
They are 43 of the 1,385 NPPES records with a practice address in Sheboygan, and 3,475 physician assistant records in Wisconsin.
All 3,475 in Wisconsin → Every provider in Sheboygan → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Emily Copps, PA-CSheboygan, WI 530811114975372
- Katherine Crowns, PA-CSheboygan, WI 530811750691671
- Linden Engelsma, PA-CSheboygan, WI 530811699880716
- Aimee Ingelse, PA-CSheboygan, WI 530811821384330
- Heather James, P.A.-CSheboygan, WI 530811922114347
- Melissa Krause, PASheboygan, WI 530811760670772
- Pamela Mentink, PASheboygan, WI 530811578714317
- Jerome Miller, P.A.Sheboygan, WI 530811629034798
Common questions
What is Kristin Marie Balthazor, PA-C, MPAS's NPI number?
Kristin Marie Balthazor, PA-C, MPAS's National Provider Identifier (NPI) is 1649422619, issued on Oct 21, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Kristin Marie Balthazor, PA-C, MPAS located?
The NPPES record lists a practice address at 2124 Kohler Memorial Dr, Sheboygan, WI, 53081. Phone: (833) 821-7246. Providers update this record themselves, so call before visiting.
How can I verify Kristin Marie Balthazor, PA-C, MPAS's license?
NPPES lists Wisconsin license number 4402-23, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
How much does Kristin Marie Balthazor, PA-C, MPAS prescribe under Medicare Part D?
In 2024, Kristin Marie Balthazor, PA-C, MPAS had 3,568 Medicare Part D claims for 384 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Kristin Marie Balthazor, PA-C, MPAS's MIPS final score?
The 2023 MIPS final score is 97.3 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.