Prashan Gunasekera, MD
NPI 1770848194 · Family Medicine Physician · Sheboygan, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashan Gunasekera, MD is a Family Medicine Physician provider in Sheboygan, WI (NPI 1770848194).
Provider details
- NPI number
- 1770848194
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301107370 (MI)
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
13 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
221 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 | 101 | $115 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 72 | $81 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 19 | $100 |
| Automated Urinalysis Test81003 | 15 | $2 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 14 | $153 |
Typical Medicare-allowed amounts for these services range $2–$153 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 36 | 35 |
| Diclofenac Sodium | 35 | 33 |
| Azithromycin | 27 | 26 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 26 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 19 |
| Amoxicillin | 17 | 17 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim |
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2023-10-13
- Certified
- 2023-10-13
Frequently asked questions
- What is Prashan Gunasekera's NPI number?
- Prashan Gunasekera's National Provider Identifier (NPI) is 1770848194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashan Gunasekera's specialty?
- Prashan Gunasekera is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prashan Gunasekera located?
- Prashan Gunasekera's practice location on file with NPPES is 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129.
- What is Prashan Gunasekera's phone number?
- The practice phone number listed in the NPPES registry for Prashan Gunasekera is (920) 457-4461.
- Does Prashan Gunasekera accept Medicare?
- Prashan Gunasekera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashan Gunasekera's NPI active?
- Yes — Prashan Gunasekera's NPI (1770848194) is active in the NPPES registry as of the last update on 2023-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.