Active NPI 1548203540 Individual Practitioner Male Practitioner

Dr. Anthony R. Gauthier , MD

Urology • Goshen, IN

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Gauthier, MD is a registered Urology practitioner in Goshen, IN. With approximately 34 years of clinical practice since graduating from Louisiana State University School Of Medicine In New Orleans in 1992, Dr. Gauthier provides healthcare services at the registered practice location at 1808 CHARLTON CT.

Dr. Gauthier is affiliated with Goshen Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1808 Charlton Ct

Goshen, IN 465266463

Telephone 5745338420

Fax 5745345822

Associated Practice Facility / Clinic

🏢 Goshen Health System, Inc Facility NPI 1003657503

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Goshen, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Goshen, IN (320 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gauthier (34 Years) 34 Yrs

Goshen Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	89	$265.00	$117.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$324.83	$152.92
52000 Diagnostic exam of bladder and urethra using an endoscope	64	52	$630.00	$68.77
81002 Urinalysis, manual test	55	52	$13.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	55	45	$185.00	$84.09
51798 Ultrasound measurement of bladder capacity after voiding	24	23	$85.00	$10.09
55706 Needle stereotactic and image-guided biopsy of prostate gland	18	18	$1090.00	$324.57
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	18	17	$820.00	$258.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	114	$191.50	$82.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	113	$270.13	$115.55
52000 Diagnostic exam of bladder and urethra using an endoscope	69	55	$508.00	$221.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$354.71	$147.40
81001 Manual urinalysis test with examination using microscope, automated	36	31	$8.00	$2.86
51798 Ultrasound measurement of bladder capacity after voiding	35	35	$61.57	$9.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$116.76	$51.65
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$220.00	$77.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$235.81	$103.64
74420 Imaging of urinary tract	21	21	$57.00	$22.25
81003 Automated urinalysis test	19	18	$6.00	$2.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$93.78	$46.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	16	$689.41	$116.37
51702 Simple insertion of temporary bladder tube	14	11	$130.00	$52.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$991.64	$368.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	111	$135.85	$84.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	100	$217.17	$117.84
52000 Diagnostic exam of bladder and urethra using an endoscope	66	57	$470.11	$227.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$310.69	$155.72
51798 Ultrasound measurement of bladder capacity after voiding	54	49	$58.11	$9.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$204.44	$103.66
81000 Manual urinalysis test with examination using microscope, non-automated	35	33	$10.00	$4.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$90.77	$52.03
81001 Manual urinalysis test with examination using microscope, automated	27	24	$8.00	$3.11
74420 Imaging of urinary tract	26	26	$57.00	$22.93
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$220.00	$92.99
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	22	$991.64	$388.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$298.00	$126.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$86.00	$36.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	19	$1013.25	$122.03
76872 Ultrasound scan of pelvic region through rectum	12	12	$327.08	$113.39
55700 Biopsy of prostate gland	12	12	$532.00	$216.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	127	$122.00	$85.53
81000 Manual urinalysis test with examination using microscope, non-automated	73	61	$10.00	$3.92
52000 Diagnostic exam of bladder and urethra using an endoscope	65	50	$447.00	$213.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	54	$181.00	$117.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$179.00	$103.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$275.00	$154.11
51798 Ultrasound measurement of bladder capacity after voiding	44	41	$55.00	$9.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$73.00	$52.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$298.00	$128.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	17	$1061.50	$116.92
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$984.67	$375.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	151	$122.00	$71.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$275.00	$154.50
51798 Ultrasound measurement of bladder capacity after voiding	70	62	$42.96	$9.34
52000 Diagnostic exam of bladder and urethra using an endoscope	53	46	$428.77	$199.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	44	$73.00	$43.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$179.00	$102.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$181.00	$104.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$297.13	$132.71
51703 Complicated insertion of bladder tube	30	13	$278.83	$132.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	21	$1045.08	$111.50
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	16	$913.72	$395.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	391	245	$10.00	$3.85
99213 Established patient office or other outpatient visit, typically 15 minutes	293	239	$134.84	$69.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	172	172	$297.50	$154.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	77	$204.06	$100.56
52000 Diagnostic exam of bladder and urethra using an endoscope	69	58	$732.25	$171.84
51798 Ultrasound measurement of bladder capacity after voiding	67	63	$64.27	$11.50
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	58	12	$1063.00	$213.45
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$3.82	$0.53
51703 Complicated insertion of bladder tube	41	18	$428.07	$108.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$188.30	$102.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	24	$85.36	$42.45
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$209.72	$96.26
74420 Imaging of urinary tract	22	21	$229.09	$25.16
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$1202.82	$114.60
55700 Biopsy of prostate gland	14	14	$590.00	$236.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$77.00	$37.63
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$320.00	$54.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	13	12	$81.00	$26.36
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1031.08	$418.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	467	272	$10.00	$3.90
99213 Established patient office or other outpatient visit, typically 15 minutes	252	179	$139.64	$66.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$318.50	$147.53
52000 Diagnostic exam of bladder and urethra using an endoscope	88	75	$770.00	$149.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$206.13	$97.59
51798 Ultrasound measurement of bladder capacity after voiding	63	59	$86.00	$14.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$209.06	$98.39
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$198.87	$88.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$90.00	$39.78
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$1473.88	$131.78
50590 Shock wave crushing of kidney stones	15	14	$2330.00	$527.24
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2100.00	$677.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$320.00	$53.62
55700 Biopsy of prostate gland	11	11	$590.00	$212.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	309	182	$10.00	$4.22
99213 Established patient office or other outpatient visit, typically 15 minutes	155	105	$140.45	$67.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$204.64	$98.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$319.26	$152.81
51798 Ultrasound measurement of bladder capacity after voiding	71	66	$86.00	$17.57
52000 Diagnostic exam of bladder and urethra using an endoscope	68	68	$770.00	$151.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$210.00	$97.18
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2100.00	$811.64
86294 Immunologic analysis for detection of tumor antigen, qualitative or semiquantitative	12	12	$70.00	$24.92
50590 Shock wave crushing of kidney stones	12	11	$2524.17	$566.67

Medical Specialties & State Licenses

CMS Verified: 2024-12-23

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01077751A

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License MI 4301079102

Hospital & Practice Group Affiliations

Goshen Health System Inc

1615 Winsted Dr, Goshen, IN 465264673

Phone: 5745370861

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Jeffrey Bolduan , MD

Urology

NPI 1831278027

Doctor of Medicine (M.D.)

Morgan Danielson , FNP

Nurse Practitioner - Family

NPI 1881215820

Family Nurse Practitioner

Oksana Jumanov

Nurse Practitioner

NPI 1972477271

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location December 23, 2024

Registered at 1808 CHARLTON CT, GOSHEN, IN 465266463 (Tel: 5745338420)

📍

Updated Business Mailing Address December 23, 2024

Registered at 1808 CHARLTON CT, GOSHEN, IN 465266463 (Tel: 5745338420)

📍

Updated Practice Location December 18, 2023

Registered at 1615 WINSTED DR STE 4, GOSHEN, IN 465264673 (Tel: 5745338420)

📍

Updated Business Mailing Address December 18, 2023

Registered at 1615 WINSTED DR STE 4, GOSHEN, IN 465264673 (Tel: 5745338420)

📍

Updated Business Mailing Address August 29, 2023

Registered at 707 CEDAR ST STE 405, SOUTH BEND, IN 466172059

📍

Updated Practice Location October 18, 2021

Registered at 611 E DOUGLAS RD STE 309, MISHAWAKA, IN 465451467 (Tel: 5743356830)

📍

Updated Business Mailing Address October 18, 2021

Registered at 707 CEDAR ST STE 200, SOUTH BEND, IN 466172057 (Tel: 5743358707)

✅

NPI Profile Active December 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2014

Registered at 1535 GULL RD, SUITE 150, KALAMAZOO, MI 490481650 (Tel: 2693499648)

📍

Updated Business Mailing Address December 11, 2014

Registered at 1535 GULL RD, SUITE 150, KALAMAZOO, MI 490481650 (Tel: 2693499648)

👤

Provider Name / Credentials Updated December 11, 2014

Recorded as ANTHONY GAUTHIER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2014

Urology (License #4301079102 in MI)

🟢

Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548203540

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 14, 2006

Last Update: December 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1808 Charlton Ct

Goshen, IN 465266463

Phone: 5745338420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.