Gauri Pethe, MD
NPI 1497232375 · Rheumatology Physician · Marshfield, WI
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gauri Pethe, MD is a Rheumatology Physician provider in Marshfield, WI (NPI 1497232375).
Provider details
- NPI number
- 1497232375
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 82969 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
125 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 94 | $91 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 17 | $127 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 14 | $123 |
Typical Medicare-allowed amounts for these services range $91–$127 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 79 | 50 |
| Methotrexate Sodiumbrand: Methotrexate | 69 | 48 |
| Hydroxychloroquine Sulfate | 37 | 27 |
| Leflunomide | 21 | 13 |
| Alendronate Sodium | 17 | — |
| Adalimumabbrand: Humira(cf) Pen | 12 | — |
| Meloxicam | 11 | — |
Practice location
Mailing address
Additional practice locations (1)
- 355 Ridge AveEvanston, IL 60202-3328Phone: (847) 316-4000
Registry dates
- Enumerated
- 2018-07-24
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Gauri Pethe's NPI number?
- Gauri Pethe's National Provider Identifier (NPI) is 1497232375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gauri Pethe's specialty?
- Gauri Pethe is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Gauri Pethe located?
- Gauri Pethe's practice location on file with NPPES is 1000 N Oak Ave, Marshfield, WI 54449-5703.
- What is Gauri Pethe's phone number?
- The practice phone number listed in the NPPES registry for Gauri Pethe is (715) 387-5511.
- Does Gauri Pethe accept Medicare?
- Gauri Pethe is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gauri Pethe's NPI active?
- Yes — Gauri Pethe's NPI (1497232375) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.