Michelle Gauthier, DO
NPI 1265489264 · Family Medicine Physician · Pleasant Prairie, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Gauthier, DO is a Family Medicine Physician provider in Pleasant Prairie, WI (NPI 1265489264).
Provider details
- NPI number
- 1265489264
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 39272 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,311 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 568 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 160 | $85 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 156 | $72 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 155 | $45 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 92 | $75 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 174 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 790 | 211 |
| Atorvastatin Calcium | 471 | 139 |
| Losartan Potassium | 461 | 133 |
| Amlodipine Besylate | 427 | 126 |
| Omeprazole | 421 | 110 |
| Simvastatin | 345 | 85 |
| Furosemide | 333 | 96 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,279 across 48 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2018-12-03
Frequently asked questions
- What is Michelle Gauthier's NPI number?
- Michelle Gauthier's National Provider Identifier (NPI) is 1265489264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Gauthier's specialty?
- Michelle Gauthier is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michelle Gauthier located?
- Michelle Gauthier's practice location on file with NPPES is 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118.
- What is Michelle Gauthier's phone number?
- The practice phone number listed in the NPPES registry for Michelle Gauthier is (262) 577-8320.
- Does Michelle Gauthier accept Medicare?
- Michelle Gauthier is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Gauthier's NPI active?
- Yes — Michelle Gauthier's NPI (1265489264) is active in the NPPES registry as of the last update on 2018-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.