Active NPI 1114231974 Individual Practitioner Female Practitioner

Sheryl A Gauthier , PA-C

Physician Assistant • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sheryl Gauthier, PA-C is a certified Physician Assistant practicing in Appleton, WI. With approximately 16 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2010, Sheryl Gauthier delivers high-quality medical care to the local community at 2105 E ENTERPRISE AVE.

Sheryl Gauthier is affiliated with Door County Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2105 E Enterprise Ave

Appleton, WI 549137862

Telephone 9205601000

Fax 9207316732

Associated Practice Facility / Clinic

🏢 Valley Orthopedic Clinic Sc Facility NPI 1780628925

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +4.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

108 Specialists

Practicing in Appleton, WI (3517 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

98.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gauthier (16 Years) 16 Yrs

Appleton Specialty Average (11.5 Years) 11.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	12	$4.03	$1.04
20610 Aspiration and/or injection of fluid from large joint	15	11	$468.00	$56.12
27447 Replacement of knee joint, both sides of knee	11	11	$11537.00	$158.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	184	16	$2.50	$1.17
20610 Aspiration and/or injection of fluid from large joint	23	16	$423.91	$54.06
27447 Replacement of knee joint, both sides of knee	17	16	$11537.06	$150.24
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$186.00	$68.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	37	23	$27.24	$10.67
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$189.71	$73.06
20610 Aspiration and/or injection of fluid from large joint	28	22	$477.21	$57.82
27447 Replacement of knee joint, both sides of knee	12	12	$10131.42	$162.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	58	40	$402.83	$50.79
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$200.00	$59.50
J1040 Injection, methylprednisolone acetate, 80 mg	40	29	$42.00	$11.55
64640 Destruction of peripheral nerve or branch	36	11	$1408.00	$136.40
27447 Replacement of knee joint, both sides of knee	18	16	$10203.00	$173.91
J1030 Injection, methylprednisolone acetate, 40 mg	17	15	$21.00	$6.09
27446 Repair of knee joint	14	13	$6563.07	$149.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,008	12	$16.00	$11.35
J1040 Injection, methylprednisolone acetate, 80 mg	74	45	$42.00	$12.11
20610 Aspiration and/or injection of fluid from large joint	66	45	$423.73	$50.75
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$200.00	$59.64
27447 Replacement of knee joint, both sides of knee	24	24	$10203.00	$172.77
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$16689.00	$172.86
27446 Repair of knee joint	14	11	$6563.00	$147.85
73560 X-ray of knee, 1-2 views	12	11	$209.00	$26.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$290.00	$88.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	84	37	$43.71	$12.96
20610 Aspiration and/or injection of fluid from large joint	76	38	$400.58	$48.13
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$200.00	$59.33
27447 Replacement of knee joint, both sides of knee	14	13	$10931.86	$179.11
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$16689.00	$173.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	95	50	$354.00	$40.55
J1040 Injection, methylprednisolone acetate, 80 mg	92	47	$42.00	$10.86
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$200.00	$58.34
27447 Replacement of knee joint, both sides of knee	18	17	$10203.00	$166.76

Medical Specialties & State Licenses

CMS Verified: 2024-12-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1087005

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1087005 (WI)

Hospital & Practice Group Affiliations

Door County Memorial Hospital

1843 Michigan St, Sturgeon Bay, WI 542351007

Phone: 9207461060

Secondary Practice Locations

300 N Commercial St, 2

Neenah, WI 549562619

Phone: 9208860818

Practice Associates & Co-Workers

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

21 Associated Practitioners

Chandler Riem

Physical Therapist

NPI 1003587536

Lyndsey Maves , PA-C

Physician Assistant

NPI 1073597761

Physician Assistant (Certified)

Kristine Clark , OTC

Specialist/Technologist, Other

NPI 1073795506

Kim Willison , APNP

Nurse Practitioner - Adult Health

NPI 1225080955

Advanced Practice Nurse Prescriber

Dr. Todd Schubkegel , MD

Orthopaedic Surgery

NPI 1225291453

Doctor of Medicine (M.D.)

Bradley Borgen , APNP

Nurse Practitioner

NPI 1255383006

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location January 02, 2025

Registered at 2105 E ENTERPRISE AVE, APPLETON, WI 549137862 (Tel: 9205601000)

📍

Updated Practice Location April 03, 2024

Registered at 33 GREEN BAY RD, STURGEON BAY, WI 542352831 (Tel: 9207464434)

📍

Updated Business Mailing Address April 03, 2024

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

👤

Provider Name / Credentials Updated April 03, 2024

Recorded as SHERYL GAUTHIER, PA-C

✅

NPI Profile Active January 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2011

Registered at 300 N COMMERCIAL ST, 2, NEENAH, WI 549562619 (Tel: 9208860818)

📍

Updated Business Mailing Address January 17, 2011

Registered at 300 N COMMERCIAL ST, 2, NEENAH, WI 549562619 (Tel: 9208860818)

👤

Provider Name / Credentials Updated January 17, 2011

Recorded as SHERYL GAUTHIER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2011

Physician Assistant (License #1087005 in WI)

🟢

Initial NPI Registration & Enumeration August 03, 2010

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: 1114231974

Entity Type:

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

Enumeration Date: August 03, 2010

Last Update: January 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.