Active NPI 1447271895 Individual Practitioner Male Practitioner

Dr. Thomas R Guse , MD

Orthopaedic Surgery • Stevens Point, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Guse, MD is a certified Orthopaedic Surgery practicing in Stevens Point, WI. With approximately 38 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1988, Dr. Guse delivers high-quality medical care to the local community at 500 VINCENT ST.

Dr. Guse is affiliated with Orthopaedic Centers Of Wisconsin S C and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Vincent St

Stevens Point, WI 544811848

Telephone 7153440701

Fax 7153444494

Associated Practice Facility / Clinic

🏢 Klasinski Clinic, S.c. Facility NPI 1619915741

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Stevens Point, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +10.9 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

11 Specialists

Practicing in Stevens Point, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guse (38 Years) 38 Yrs

Stevens Point Specialty Average (27.1 Years) 27.1 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
J1010 Injection, methylprednisolone acetate, 1 mg	6,640	47	$2.00	$0.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	279	31	$22.00	$0.95
99213 Established patient office or other outpatient visit, typically 15 minutes	63	49	$252.00	$85.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	45	$157.00	$53.37
73030 X-ray of shoulder, minimum of 2 views	49	32	$246.98	$30.30
20610 Aspiration and/or injection of fluid from large joint	49	34	$730.92	$70.65
73564 X-ray of knee, 4 or more views	43	41	$373.02	$47.58
73502 X-ray of hip, 2-3 views	32	27	$372.94	$38.12
20550 Injection into tendon or ligament	31	26	$410.90	$53.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$309.00	$104.85
73110 X-ray of wrist, minimum of 3 views	23	11	$280.13	$34.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	19	$1412.00	$54.98
73562 X-ray of knee, 3 views	21	17	$285.14	$34.84
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	19	$852.00	$92.88
73140 X-ray of finger, minimum of 2 views	19	17	$261.37	$31.75
J1040 Injection, methylprednisolone acetate, 80 mg	17	12	$131.00	$9.66
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$202.00	$67.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$357.00	$121.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	458	58	$22.00	$1.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	64	$148.89	$53.82
J1040 Injection, methylprednisolone acetate, 80 mg	66	43	$131.00	$11.85
99213 Established patient office or other outpatient visit, typically 15 minutes	63	51	$236.81	$86.07
20610 Aspiration and/or injection of fluid from large joint	51	42	$599.41	$63.07
73030 X-ray of shoulder, minimum of 2 views	51	36	$206.33	$26.67
20550 Injection into tendon or ligament	42	31	$404.38	$52.70
73502 X-ray of hip, 2-3 views	34	25	$296.79	$37.43
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	29	27	$678.21	$94.18
73564 X-ray of knee, 4 or more views	28	28	$382.86	$50.19
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$202.00	$67.16
73562 X-ray of knee, 3 views	24	20	$247.00	$35.38
73140 X-ray of finger, minimum of 2 views	22	19	$242.36	$32.60
73110 X-ray of wrist, minimum of 3 views	20	16	$273.70	$36.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$294.78	$105.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	14	$1403.06	$55.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	440	54	$22.00	$1.12
99213 Established patient office or other outpatient visit, typically 15 minutes	77	55	$207.73	$86.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	48	$136.69	$53.41
73030 X-ray of shoulder, minimum of 2 views	49	33	$194.35	$26.94
73564 X-ray of knee, 4 or more views	47	46	$291.04	$43.82
73562 X-ray of knee, 3 views	37	28	$226.32	$36.09
20610 Aspiration and/or injection of fluid from large joint	37	27	$528.32	$64.92
20550 Injection into tendon or ligament	27	21	$376.67	$52.08
73502 X-ray of hip, 2-3 views	23	17	$242.52	$39.15
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$202.00	$69.05
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	21	19	$610.67	$96.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$272.15	$105.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	392	48	$22.00	$1.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	59	$135.00	$53.92
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	78	13	$34.00	$7.51
20610 Aspiration and/or injection of fluid from large joint	62	51	$501.68	$64.90
73030 X-ray of shoulder, minimum of 2 views	57	40	$201.49	$27.18
99213 Established patient office or other outpatient visit, typically 15 minutes	55	46	$195.00	$87.56
J1040 Injection, methylprednisolone acetate, 80 mg	54	24	$131.00	$10.61
73564 X-ray of knee, 4 or more views	37	36	$281.00	$41.52
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$202.00	$69.59
73502 X-ray of hip, 2-3 views	33	28	$215.39	$36.44
73562 X-ray of knee, 3 views	26	18	$205.92	$32.49
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	17	17	$585.53	$97.04
20550 Injection into tendon or ligament	15	14	$358.00	$51.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$261.00	$124.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$268.00	$107.09
73221 Mri scan of arm joint without contrast	12	12	$3115.00	$152.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	346	42	$21.66	$1.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	72	$132.48	$42.60
99213 Established patient office or other outpatient visit, typically 15 minutes	76	59	$191.58	$72.02
20610 Aspiration and/or injection of fluid from large joint	54	44	$449.76	$63.36
73502 X-ray of hip, 2-3 views	45	28	$215.40	$35.90
73030 X-ray of shoulder, minimum of 2 views	43	31	$227.53	$31.29
73564 X-ray of knee, 4 or more views	35	34	$275.26	$42.12
J1040 Injection, methylprednisolone acetate, 80 mg	32	17	$127.50	$11.55
73562 X-ray of knee, 3 views	21	18	$211.67	$34.03
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$195.40	$71.10
20550 Injection into tendon or ligament	18	13	$347.33	$44.02
73600 X-ray of ankle, 2 views	15	11	$157.00	$26.49
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	13	13	$552.92	$94.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$65.00	$22.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$219.55	$70.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	297	37	$18.10	$1.60
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	110	16	$28.95	$6.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	63	$122.92	$42.74
20610 Aspiration and/or injection of fluid from large joint	57	40	$390.81	$59.48
99213 Established patient office or other outpatient visit, typically 15 minutes	53	51	$185.00	$71.47
73030 X-ray of shoulder, minimum of 2 views	49	28	$218.31	$28.50
J1040 Injection, methylprednisolone acetate, 80 mg	45	17	$108.00	$12.13
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$191.00	$72.54
73564 X-ray of knee, 4 or more views	30	29	$276.70	$40.50
74018 X-ray of abdomen, 1 view	26	19	$110.00	$16.96
73600 X-ray of ankle, 2 views	23	11	$149.91	$25.15
20550 Injection into tendon or ligament	20	14	$314.20	$46.07
73502 X-ray of hip, 2-3 views	20	15	$238.80	$39.34
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	14	$481.26	$85.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	285	35	$16.00	$1.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	73	$128.00	$41.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	120	12	$24.00	$7.06
73564 X-ray of knee, 4 or more views	72	60	$261.74	$37.00
73502 X-ray of hip, 2-3 views	61	40	$216.62	$33.99
73030 X-ray of shoulder, minimum of 2 views	57	41	$211.55	$28.03
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$185.00	$70.06
20610 Aspiration and/or injection of fluid from large joint	51	38	$375.82	$59.78
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$191.00	$71.85
74018 X-ray of abdomen, 1 view	27	20	$110.00	$17.12
J1040 Injection, methylprednisolone acetate, 80 mg	23	12	$94.00	$13.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	255	28	$16.00	$1.75
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	109	15	$24.00	$6.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	55	$128.00	$41.65
73564 X-ray of knee, 4 or more views	54	46	$295.56	$42.88
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$185.00	$70.07
20610 Aspiration and/or injection of fluid from large joint	50	34	$386.86	$61.28
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$191.00	$71.43
73030 X-ray of shoulder, minimum of 2 views	36	30	$226.64	$27.92
74000 X-ray of abdomen, single view	22	15	$110.00	$13.70

Medical Specialties & State Licenses

CMS Verified: 2022-05-11

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 36643

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32144600 (WI)

Commercial Insurance / Payer ID Railroad Medicare Provider Number

200022320 (WI)

Hospital & Practice Group Affiliations

Orthopaedic Centers Of Wisconsin S C

500 Vincent St, Stevens Point, WI 544811842

Phone: 7153440701

Practice Associates & Co-Workers

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

28 Associated Practitioners

Michele Utecht , ATC

Specialist/Technologist - Athletic Trainer

NPI 1144663477

Certified Athletic Trainer

Dr. Michele Klasinski , MD

Psychiatry & Neurology - Neurology

NPI 1194743070

Doctor of Medicine (M.D.)

Dr. John Thompson , MD

Emergency Medicine

NPI 1205864535

Doctor of Medicine (M.D.)

James Lepak , PA-C

Physician Assistant - Surgical

NPI 1225063068

Physician Assistant (Certified)

Dr. Todd Williams , MD

Orthopaedic Surgery

NPI 1235267568

Doctor of Medicine (M.D.)

Dr. Sarah Crow , DPT

Physical Therapist

NPI 1316314461

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 April 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2008

Registered at 500 VINCENT ST, STEVENS POINT, WI 544811848 (Tel: 7153440701)

📍

Updated Business Mailing Address April 22, 2008

Registered at 500 VINCENT ST, STEVENS POINT, WI 544811848 (Tel: 7153440701)

👤

Provider Name / Credentials Updated April 22, 2008

Recorded as THOMAS GUSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2008

Orthopaedic Surgery (License #36643 in WI)

🟢

Initial NPI Registration & Enumeration July 21, 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: 1447271895

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: May 11, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

500 Vincent St

Stevens Point, WI 544811848

Phone: 7153440701

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.