Active NPI 1851346191 Individual Practitioner Male Practitioner

Dr. Michael J Mcgauley , DO

Surgery • Janesville, WI

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mcgauley, DO is a registered Surgery practitioner in Janesville, WI. With approximately 25 years of clinical practice since completing medical education in 2001, Dr. Mcgauley provides healthcare services at the registered practice location at 510 N TERRACE ST.

Dr. Mcgauley is affiliated with Watertown Physician Practices Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

510 N Terrace St

Janesville, WI 535482906

Telephone 6087567277

Fax 6083733115

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Janesville, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +4.7 yrs vs City Avg

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

78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcgauley (25 Years) 25 Yrs

Janesville Specialty Average (20.3 Years) 20.3 Yrs

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	20	$313.63	$76.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	22	$585.10	$121.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	21	$115.92	$68.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	63	$74.40	$67.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$134.53	$129.82
49650 Repair of groin hernia using an endoscope	11	11	$723.66	$522.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	55	$77.66	$70.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$136.07	$134.12
47562 Removal of gallbladder using an endoscope	14	14	$657.31	$630.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	54	$79.36	$69.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$73.28	$73.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$136.54	$132.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$78.70	$76.59
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$49.63	$49.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$124.69	$117.49
47562 Removal of gallbladder using an endoscope	14	14	$638.46	$619.08
49650 Repair of groin hernia using an endoscope	13	13	$797.72	$466.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$24.70	$24.68
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$433.27	$250.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	44	$73.02	$69.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$136.42	$130.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	17	$39.14	$37.49
47562 Removal of gallbladder using an endoscope	14	14	$1032.42	$543.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$128.01	$123.14
49650 Repair of groin hernia using an endoscope	13	13	$614.91	$468.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$203.28	$194.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	50	$74.32	$68.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$125.81	$121.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$137.13	$131.01
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$101.04	$96.53
47562 Removal of gallbladder using an endoscope	18	18	$644.15	$598.29
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$49.68	$49.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$423.43	$249.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$45.95	$34.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$76.75	$73.75
43246 Insertion of stomach tube using a flexible endoscope	12	12	$203.44	$170.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$77.04	$73.04

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 49239-021

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

43530800 (WI)

Commercial Insurance / Payer ID Dean Health Insurance

60433 (WI)

Commercial Insurance / Payer ID Physicians Plus

2024867 (WI)

Hospital & Practice Group Affiliations

Watertown Physician Practices Llc

123 Hospital Dr, Watertown, WI 530983320

Phone: 9202063042

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. David Lynn , MD

Surgery

NPI 1316151897

Doctor of Medicine (M.D.)

Dr. Bohdan Wasiljew , MD

Surgery

NPI 1508913120

Doctor of Medicine (M.D.)

Dr. Samuel Vercimak , MD

Surgery

NPI 1699154468

Doctor of Medicine (M.D.)

Julie Martin , APRN, FNP

Nurse Practitioner - Family

NPI 1770030561

Advanced Practice Registered Nurse, Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2015

Registered at 510 N TERRACE ST, JANESVILLE, WI 535482906 (Tel: 6087567277)

📍

Updated Business Mailing Address March 02, 2015

Registered at 510 N TERRACE ST, JANESVILLE, WI 535482906 (Tel: 6087567277)

👤

Provider Name / Credentials Updated March 02, 2015

Recorded as MICHAEL MCGAULEY, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2015

Surgery (License #49239-021 in WI)

🟢

Initial NPI Registration & Enumeration May 24, 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: 1851346191

Entity Type:

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

Enumeration Date: May 24, 2006

Last Update: March 02, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

510 N Terrace St

Janesville, WI 535482906

Phone: 6087567277

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.