Active NPI 1588607675 Individual Practitioner Male Practitioner

Dr. Michael L Rainiero , MD

Surgery • Janesville, WI

Professional Overview & Biography Verified Profile Summary

Dr. Michael Rainiero, MD is a registered healthcare professional specializing in Surgery in Janesville, WI. Practice services are available at 3200 E RACINE ST under active NPI credentials.

Frequently performed procedures and clinical services include moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3200 E Racine St

Janesville, WI 535462343

Telephone 6083718000

Fax 6083718929

Associated Practice Facility / Clinic

🏢 Dean Retail Services, Inc. Facility NPI 1679696421

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Janesville, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

12 Specialists

Practicing in Janesville, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.0% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	55	54	$242.00	$4.89
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$234.57	$86.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$2926.00	$82.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$3618.00	$227.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$482.00	$123.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$162.00	$46.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$164.00	$53.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$513.00	$158.47
45380 Biopsy of large bowel using an endoscope	13	13	$3452.00	$120.39
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$3465.00	$170.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	55	54	$239.00	$4.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$3582.00	$240.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$2897.00	$90.81
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$212.00	$87.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$470.00	$159.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	65	65	$217.00	$5.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	27	$3582.00	$230.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$144.00	$54.42
45380 Biopsy of large bowel using an endoscope	19	19	$3237.16	$107.46
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$201.00	$88.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$451.00	$161.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	41	39	$215.00	$5.25
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$191.00	$72.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	16	$2865.00	$79.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$137.00	$44.07
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$3543.00	$240.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$430.00	$159.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	51	50	$94.00	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$187.00	$71.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$137.00	$43.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	21	$3102.00	$250.30
45380 Biopsy of large bowel using an endoscope	22	22	$2347.00	$156.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$2365.00	$87.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$416.00	$158.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$278.00	$105.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$273.00	$99.28
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$204.00	$73.76
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$217.70	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	40	40	$81.00	$5.41
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$184.00	$72.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$3102.00	$252.37
36415 Insertion of needle into vein for collection of blood sample	20	20	$34.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$243.00	$73.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$267.00	$103.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$137.00	$43.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$2365.00	$84.73
45380 Biopsy of large bowel using an endoscope	11	11	$2347.00	$137.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	82	79	$70.00	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$180.00	$67.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	25	$137.00	$41.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	21	$243.00	$69.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	24	$2365.00	$73.09
36415 Insertion of needle into vein for collection of blood sample	25	23	$34.00	$2.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	22	$2967.13	$249.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$261.00	$102.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$172.00	$37.61
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$2850.00	$179.39
45380 Biopsy of large bowel using an endoscope	12	12	$2249.21	$151.53
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$2189.00	$180.45

Medical Specialties & State Licenses

CMS Verified: 2020-11-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 28578-020

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1588607675 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Brittany Austin , PA-C

Physician Assistant - Medical

NPI 1013226968

Physician Assistant (Certified)

Dr. John Ziegler , MD

Pediatrics

NPI 1013944222

Doctor of Medicine (M.D.)

Dr. Steven Lyon , MD

Otolaryngology

NPI 1013950096

Doctor of Medicine (M.D.)

Joseph Hughes , PA-C

Physician Assistant

NPI 1023741840

Physician Assistant (Certified)

Macy Bolt , PT

Physical Therapist

NPI 1033719703

Physical Therapist

Dr. Marcus Sojka , DPT

Physical Therapist

NPI 1053952028

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2014

Registered at 3200 E RACINE ST, JANESVILLE, WI 535462343 (Tel: 6083718000)

📍

Updated Business Mailing Address January 03, 2014

Registered at 3200 E RACINE ST, JANESVILLE, WI 535462343 (Tel: 6083718000)

👤

Provider Name / Credentials Updated January 03, 2014

Recorded as MICHAEL RAINIERO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

Surgery (License #28578-020 in WI)

🟢

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: 1588607675

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: November 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3200 E Racine St

Janesville, WI 535462343

Phone: 6083718000

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.