Active NPI 1265885156 Individual Practitioner Female Practitioner

Marion R Gailey , PA-C

Physician Assistant • Glendale, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marion Gailey, PA-C is a certified Physician Assistant practicing in Glendale, WI. With approximately 10 years of clinical experience since completing medical education in 2016, Marion Gailey delivers high-quality medical care to the local community at 525 W RIVER WOODS PKWY, STE 130.

Marion Gailey is affiliated with Wisconsin Bone And Joint S C and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 W River Woods Pkwy, Ste 130

Glendale, WI 532121010

Telephone 4149610304

Fax 4149612061

Associated Practice Facility / Clinic

🏢 Orthopaedic Consultants, Llp Facility NPI 1003848318

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glendale, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +3.0 yrs vs City Avg

City Avg: 7.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Glendale, WI (3517 Statewide)

Telehealth Adoption Rate

0.0% 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. Gailey (10 Years) 10 Yrs

Glendale Specialty Average (7.0 Years) 7.0 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
27447 Replacement of knee joint, both sides of knee	12	11	$8607.83	$158.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	15	15	$8380.00	$160.97
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$10176.92	$161.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$9133.25	$164.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	13	$14.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	40	38	$243.50	$60.68
20610 Aspiration and/or injection of fluid from large joint	36	21	$592.00	$60.94
27447 Replacement of knee joint, both sides of knee	33	30	$9685.88	$178.99
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$9406.00	$176.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	39	37	$9242.31	$175.36
20610 Aspiration and/or injection of fluid from large joint	31	17	$568.52	$57.54
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$238.83	$58.85
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$9274.47	$175.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	47	26	$552.26	$56.14
27130 Replacement of thigh bone and hip joint with prosthesis	45	42	$9180.72	$173.47
27447 Replacement of knee joint, both sides of knee	44	40	$9125.00	$170.32
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$235.00	$59.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	51	32	$573.57	$57.43
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	41	16	$372.00	$151.48
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$235.00	$59.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$142.00	$35.33

Medical Specialties & State Licenses

CMS Verified: 2021-08-24

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3832 - 23

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

1265885156 (WI)

Hospital & Practice Group Affiliations

Wisconsin Bone And Joint S C

2500 N Mayfair Rd, Wauwatosa, WI 532261415

Phone: 4142572525

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Thomas Huizenga , MD

Orthopaedic Surgery

NPI 1013932615

Doctor of Medicine (M.D.)

Kayla Ortiz , APNP

Nurse Practitioner - Family

NPI 1114727856

Advanced Practice Nurse Prescriber

Dr. James Cain , MD

Orthopaedic Surgery

NPI 1235133257

Doctor of Medicine (M.D.)

Dr. Donald Middleton , MD

Orthopaedic Surgery

NPI 1235190364

Doctor of Medicine (M.D.)

Dr. Mark Aschliman , MD

Orthopaedic Surgery

NPI 1285695395

Doctor of Medicine (M.D.)

Patricia Jones Cooper , NP

Nurse Practitioner - Family

NPI 1558527200

Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 24, 2021

Registered at 525 W RIVER WOODS PKWY, STE 130, GLENDALE, WI 532121010 (Tel: 4149610304)

📍

Updated Business Mailing Address August 24, 2021

Registered at 2500 N MAYFAIR ROAD STE 500, WAUWATOSN, WI 532261415 (Tel: 4142572525)

✅

NPI Profile Active November 28, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address November 28, 2017

Registered at 1700 W PARADISE DR, WEST BEND, WI 530959795 (Tel: 2623343451)

📍

Updated Practice Location November 28, 2017

Registered at 1700 W PARADISE DR, WEST BEND, WI 530959795 (Tel: 2623343451)

👤

Provider Name / Credentials Updated November 28, 2017

Recorded as MARION GAILEY, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2017

Physician Assistant (License #3832 - 23 in WI)

✅

NPI Profile Active August 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 19, 2016

Registered at 1700 W PARADISE DR, WEST BEND, WI 530959795 (Tel: 2623343451)

📍

Updated Business Mailing Address August 19, 2016

Registered at 1050 W CALUMET RD, MILWAUKEE, WI 532173008

👤

Provider Name / Credentials Updated August 19, 2016

Recorded as MARION ROBBINS, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2016

Physician Assistant (License #3832 - 23 in WI)

🟢

Initial NPI Registration & Enumeration July 15, 2016

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: 1265885156

Entity Type:

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

Enumeration Date: July 15, 2016

Last Update: August 24, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2500 N Mayfair Road Ste 500

Wauwatosn, WI 532261415

Phone: 4142572525

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.