Doctor profile · Federal record
Dr. Andrea Poulson-Port, M.D.
Family Medicine Physician (CMS: Family Practice) · Manitowoc, WI
- NPI 1326280611
- 17 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4100 Dewey St
Manitowoc, WI 542205497
(920) 686-5700 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- April 2009 — 17 yrs on file
- Profile last updated
- September 24, 2024
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Wisconsin #56118-20
- Medicaid
- WI #100024879
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1326280611. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,036
Distinct HCPCS
10
Medicare allowed
$75,971
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 246 | 143 | $116 | |
93793 |
Anticoagulant management of patient taking warfarin | 201 | 82 | $11 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 151 | 151 | $117 | |
G0008 |
Administration of influenza virus vaccine | 89 | 88 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 79 | 78 | $72 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 67 | 59 | $81 | |
85610 |
Blood test, clotting time | 55 | 11 | $4 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 55 | 51 | $13 | |
G0009 |
Administration of pneumococcal vaccine | 22 | 21 | $29 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | 19 | $281 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 108. This provider delivers 9.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
3,649
Patients
887
Total drug cost
$43,648
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 436 | 93 | $5,899 |
| Atorvastatin Calcium | Generic | 406 | 116 | $5,443 |
| Lisinopril | Generic | 372 | 96 | $2,833 |
| Omeprazole | Generic | 317 | 75 | $5,009 |
| Hydrochlorothiazide | Generic | 291 | 76 | $1,304 |
| Amlodipine Besylate | Generic | 253 | 68 | $2,094 |
| Losartan Potassium | Generic | 247 | 57 | $2,982 |
| Simvastatin | Generic | 201 | 47 | $2,139 |
| Gabapentin | Generic | 199 | 33 | $3,673 |
| Metoprolol Succinate | Generic | 178 | 46 | $3,115 |
Hospital affiliations
Frequently asked questions
What is Dr. Andrea Poulson-Port's medical specialty?
Dr. Andrea Poulson-Port practices Family Medicine Physician in Manitowoc, WI.
Where does Dr. Andrea Poulson-Port practice?
Dr. Andrea Poulson-Port practices at 4100 Dewey St, Manitowoc, WI 542205497. Office phone: 9206865700.
What is Dr. Andrea Poulson-Port's NPI?
Dr. Andrea Poulson-Port's National Provider Identifier (NPI) is 1326280611, issued by NPPES.
Does Dr. Andrea Poulson-Port accept Medicare assignment?
Dr. Andrea Poulson-Port does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Andrea Poulson-Port commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Anticoagulant management of patient taking warfarin (HCPCS 93793); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.