AMANDA J KOTH PA-C
NPI 1811558612
Physician Assistant in Milwaukee, WI

Q: What is Amanda Koth's NPI number?

The NPI number for Amanda Koth is 1811558612. It was assigned to this individual provider in the NPPES registry on June 24, 2019. The provider is also known as Amanda J Lorge Pa-C.

Q: What is Amanda Koth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Koth was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment

2801 W KINNICKINNIC RIVER PKWY STE 880, MILWAUKEE, WI 53215(414) 649-3400 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2024, Nov 19, 2021, Aug 27, 2019 (3 updates tracked since 2019).

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About Amanda J Koth Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA J KOTH PA-C (NPI 1811558612) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (4709-23) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2019).

NPPES Registry Identity

NPI1811558612

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA J KOTHCredential: PA-C

Location Address2801 W KINNICKINNIC RIVER PKWY STE 880Milwaukee, WI 53215-3678

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 649-3400

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019

Enumeration DateJune 24, 2019

Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1811558612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 4709-23

Definition

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.

2801 W KINNICKINNIC RIVER PKWY STE 880, Milwaukee, WI 53215

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Other Names 1

Former Name (1)Amanda J Lorge Pa-c

Other Identifiers 1

Medicaid100092114WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda J Koth Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355678178

PECOS Enrollment IDI20190815003076

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

83 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

23 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ELIZABETH PFLUM PA-C

Physician Assistant