Active NPI 1235217597 Individual Practitioner Male Practitioner

Michael Thomas Gauthier , PA-C

Physician Assistant • Woonsocket, RI

Professional Overview & Biography Verified Profile Summary

Michael Gauthier, PA-C is a registered healthcare professional specializing in Physician Assistant in Woonsocket, RI. Practice services are available at 115 CASS AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

115 Cass Ave

Woonsocket, RI 028954705

Telephone 4017694100

Associated Practice Facility / Clinic

🏢 Prime Healthcare Services Landmark Llc Facility NPI 1699752923

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Woonsocket, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.9 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

16 Specialists

Practicing in Woonsocket, RI (687 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99284 Emergency department visit with moderate level of medical decision making	70	69	$839.00	$99.06
99285 Emergency department visit for life threatening or functioning severity	50	47	$1252.00	$144.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	35	$1330.00	$144.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	15	$686.00	$99.66
99238 Hospital discharge day management, 30 minutes or less	24	22	$480.00	$68.31
99283 Emergency department visit with low level of medical decision making	13	13	$562.00	$58.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	137	130	$839.00	$101.62
99285 Emergency department visit for life threatening or functioning severity	51	51	$1252.00	$149.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	37	$1173.26	$148.62
99283 Emergency department visit with low level of medical decision making	38	38	$562.00	$61.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	21	$686.00	$101.96
99238 Hospital discharge day management, 30 minutes or less	20	20	$445.20	$69.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$381.47	$67.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	124	120	$562.00	$63.17
99220 Hospital observation care, typically 70 minutes	37	36	$888.00	$153.75
99217 Hospital observation care on day of discharge	36	35	$298.00	$63.01
99224 Subsequent observation care, typically 15 minutes per day	33	24	$379.00	$34.31
99284 Emergency department visit with moderate level of medical decision making	32	32	$839.00	$106.86
99282 Emergency department visit with straightforward medical decision making	31	30	$373.00	$37.17
99225 Subsequent observation care, typically 25 minutes per day	17	11	$193.00	$62.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	151	143	$562.00	$63.61
99284 Emergency department visit with moderate level of medical decision making	76	75	$839.00	$108.02
99220 Hospital observation care, typically 70 minutes	39	36	$888.00	$160.23
99217 Hospital observation care on day of discharge	33	30	$298.00	$63.75
99224 Subsequent observation care, typically 15 minutes per day	33	23	$379.00	$34.10
99282 Emergency department visit with straightforward medical decision making	31	31	$373.00	$37.71
99285 Emergency department visit for life threatening or functioning severity	18	18	$1252.00	$157.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	107	106	$562.00	$57.51
99284 Emergency department visit with moderate level of medical decision making	89	87	$839.00	$105.73
99224 Subsequent observation care, typically 15 minutes per day	71	39	$379.00	$35.31
99217 Hospital observation care on day of discharge	66	56	$298.00	$64.78
99220 Hospital observation care, typically 70 minutes	40	40	$888.00	$164.49
99285 Emergency department visit for life threatening or functioning severity	32	32	$1252.00	$153.17
99282 Emergency department visit with straightforward medical decision making	11	11	$373.00	$38.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	140	134	$562.00	$54.40
99284 Emergency department visit with moderate level of medical decision making	101	100	$839.00	$103.15
99217 Hospital observation care on day of discharge	65	61	$298.00	$64.46
99220 Hospital observation care, typically 70 minutes	50	44	$856.56	$163.24
99285 Emergency department visit for life threatening or functioning severity	47	46	$1252.00	$151.89
99224 Subsequent observation care, typically 15 minutes per day	25	17	$379.00	$34.94
99282 Emergency department visit with straightforward medical decision making	20	20	$373.00	$36.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	131	129	$562.00	$53.28
99284 Emergency department visit with moderate level of medical decision making	123	120	$839.00	$101.00
99217 Hospital observation care on day of discharge	88	81	$298.00	$63.39
99220 Hospital observation care, typically 70 minutes	46	46	$757.00	$161.00
99224 Subsequent observation care, typically 15 minutes per day	40	30	$379.00	$34.26
99285 Emergency department visit for life threatening or functioning severity	28	28	$1252.00	$148.63
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	17	17	$888.00	$188.82
99282 Emergency department visit with straightforward medical decision making	12	12	$373.00	$35.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	177	164	$250.00	$53.19
99284 Emergency department visit with moderate level of medical decision making	106	104	$474.00	$101.15
99217 Hospital observation care on day of discharge	46	41	$298.00	$63.55
99220 Hospital observation care, typically 70 minutes	36	36	$757.00	$161.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	22	$35.00	$7.38
99226 Subsequent observation care, typically 35 minutes per day	19	18	$430.00	$86.54
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	15	15	$888.00	$189.27
99285 Emergency department visit for life threatening or functioning severity	13	13	$699.00	$149.08

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA00427

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Hossameldeen Mustafa , MD

Student in an Organized Health Care Education/Training Program

NPI 1003553173

Doctor of Medicine (M.D.)

Dr. Charles Kim , MD

Anesthesiology

NPI 1003993072

Doctor of Medicine (M.D.)

Dr. Lana Tannous , MD

Student in an Organized Health Care Education/Training Program

NPI 1013702430

Doctor of Medicine (M.D.)

Dr. Omar Alkasabrah , MD

Student in an Organized Health Care Education/Training Program

NPI 1033957220

Doctor of Medicine (M.D.)

Dr. Daren Girard , MD

Emergency Medicine

NPI 1053390138

Doctor of Medicine (M.D.)

Emily Hochreiner

Student in an Organized Health Care Education/Training Program

NPI 1063357804

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 115 CASS AVE, WOONSOCKET, RI 028954705 (Tel: 4017694100)

📍

Updated Business Mailing Address July 08, 2007

Registered at 15 SHEFFIELD AVE., PAWTUCKET, RI 02860 (Tel: 4017272731)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL GAUTHIER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA00427 in RI)

🟢

Initial NPI Registration & Enumeration November 02, 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: 1235217597

Entity Type:

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

Enumeration Date: November 02, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 Sheffield Ave.

Pawtucket, RI 02860

Phone: 4017272731

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.