Marc Gauthier, M.D.
NPI 1649407628 · Pulmonary Disease Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Gauthier, M.D. is a Pulmonary Disease Physician provider in Pittsburgh, PA (NPI 1649407628).
Provider details
- NPI number
- 1649407628
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD445493 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
158 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 68 | $74 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 67 | $108 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $92 |
Typical Medicare-allowed amounts for these services range $74–$108 (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 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 80 | 26 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 57 | 16 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 49 | — |
| Montelukast Sodium | 41 | 13 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 40 | — |
| Budesonide/Formoterol Fumaratebrand: Budesonide-Formoterol Fumarate | 37 | 11 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2023-01-31
- Certified
- 2023-01-31
Frequently asked questions
- What is Marc Gauthier's NPI number?
- Marc Gauthier's National Provider Identifier (NPI) is 1649407628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Gauthier's specialty?
- Marc Gauthier is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Gauthier located?
- Marc Gauthier's practice location on file with NPPES is 3459 5th Ave, Pittsburgh, PA 15213-3236.
- What is Marc Gauthier's phone number?
- The practice phone number listed in the NPPES registry for Marc Gauthier is (412) 692-2210.
- Does Marc Gauthier accept Medicare?
- Marc Gauthier is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Gauthier's NPI active?
- Yes — Marc Gauthier's NPI (1649407628) is active in the NPPES registry as of the last update on 2023-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.