Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851383525 Individual Practitioner Male Practitioner

Dr. Gary M Pusateri , MD

General Practice • Crandon, WI

Professional Overview & Biography Verified Profile Summary

Dr. Gary Pusateri, MD is a registered healthcare professional specializing in General Practice in Crandon, WI. Practice services are available at 3144 VANZILE RD under active NPI credentials.

Frequently performed procedures and clinical services include outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3144 Vanzile Rd

Crandon, WI 545208149

Telephone 7154785180
Associated Practice Facility / Clinic
🏢 Sokaogon Chippewa Community Facility NPI 1033115456

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Crandon, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Crandon, WI (130 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.4% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
29 21 $90.79 $21.83
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
26 20 $168.46 $51.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
13 13 $59.15 $7.77
80053 Blood test, comprehensive group of blood chemicals
11 11 $96.45 $10.56
80061 Blood test, lipids (cholesterol and triglycerides)
11 11 $118.73 $13.39

Medical Specialties & State Licenses

CMS Verified: 2021-05-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 29938-020

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
31543400 (WI)

Practice Associates & Co-Workers

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

20 Associated Practitioners
Kristen Radloff , FNP, APNP

Nurse Practitioner - Family

NPI 1003261215

Family Nurse Practitioner, Advanced Practice Nurse Prescriber

Suzette Katchko , APNP

Nurse Practitioner

NPI 1073773677

Advanced Practice Nurse Prescriber

Theresa Hunt , LPN

Licensed Practical Nurse

NPI 1124257647

Licensed Practical Nurse

Melinda Roth , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154757045

Psychiatric-Mental Health Nurse Practitioner

Bobbi Jo Bissonette , APNP

Nurse Practitioner - Family

NPI 1366874489

Advanced Practice Nurse Prescriber

Karen Minx , SAC

Counselor - Addiction (Substance Use Disorder)

NPI 1366912248

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 18, 2021

Registered at 3144 VANZILE RD, CRANDON, WI 545208149 (Tel: 7154785180)

NPI Profile Active December 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2013

Registered at E23570 POW WOW TR., WATERSMEET, MI 49969 (Tel: 9063584588)

📍
Updated Business Mailing Address December 17, 2013

Registered at E23570 POW WOW TRAIL, WATERSMEET, MI 49969 (Tel: 9063584588)

👤
Provider Name / Credentials Updated December 17, 2013

Recorded as GARY PUSATERI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2013

General Practice (License #29938-020 in WI)

🟢
Initial NPI Registration & Enumeration August 18, 2005

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: 1851383525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: May 18, 2021
Sole Proprietor: No

Mailing Address

E23570 Pow Wow Trail

Watersmeet, MI 49969

Phone: 9063584588

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.