Active NPI 1619962644 Individual Practitioner Male Practitioner

Gregory Harley , PA

Physician Assistant • Wild Rose, WI

Professional Overview & Biography Verified Profile Summary

Gregory Harley, PA is a registered healthcare professional specializing in Physician Assistant in Wild Rose, WI. Practice services are available at 701 GROVE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Grove Ave

Wild Rose, WI 549846901

Telephone 9206225560

Associated Practice Facility / Clinic

🏢 Thedacare Medical Center - Wild Rose, Inc Facility NPI 1710018817

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wild Rose, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Wild Rose, WI (3517 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$244.10	$73.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	181	123	$236.14	$74.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	49	$351.08	$105.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$384.93	$107.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	128	$225.72	$61.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	36	$334.58	$88.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$373.14	$95.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	239	126	$207.79	$60.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	43	$308.61	$88.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$344.40	$94.33
G0008 Administration of influenza virus vaccine	14	13	$68.06	$15.92
36415 Insertion of needle into vein for collection of blood sample	12	11	$12.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	158	$199.00	$59.54
85610 Blood test, clotting time	129	17	$19.70	$4.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	75	$295.00	$87.17
36415 Insertion of needle into vein for collection of blood sample	61	37	$11.94	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$329.00	$95.10
G0008 Administration of influenza virus vaccine	15	15	$65.00	$19.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$120.00	$35.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	147	$193.00	$59.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	41	$286.00	$87.58
94640 Inhalation treatment for airway obstruction or sputum production	18	16	$52.00	$14.80
81003 Automated urinalysis test	14	13	$9.52	$3.02

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 585-023

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

42924200 (WI)

Practice Associates & Co-Workers

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

8 Associated Practitioners

Lynn Ringenoldus , APNP

Nurse Practitioner

NPI 1053740761

Advanced Practice Nurse Prescriber

Dr. Teresita Romana , MD

Family Medicine

NPI 1417940628

Doctor of Medicine (M.D.)

Dr. Michael Staudinger , MD

Family Medicine

NPI 1467420968

Doctor of Medicine (M.D.)

Susan Piechowski , APNP

Nurse Practitioner - Family

NPI 1639508724

Advanced Practice Nurse Prescriber

Victoria Lois , PA-C

Physician Assistant

NPI 1639664642

Physician Assistant (Certified)

Dr. Reginaldo Arboleda , MD

Family Medicine

NPI 1699776476

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2014

Registered at 701 GROVE AVE, WILD ROSE, WI 549846901 (Tel: 9206225560)

📍

Updated Business Mailing Address April 29, 2014

Registered at 701 GROVE AVE, WILD ROSE, WI 549846901 (Tel: 9206225560)

👤

Provider Name / Credentials Updated April 29, 2014

Recorded as GREGORY HARLEY, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2014

Physician Assistant (License #585-023 in WI)

🟢

Initial NPI Registration & Enumeration September 15, 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: 1619962644

Entity Type:

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

Enumeration Date: September 15, 2005

Last Update: April 29, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Grove Ave

Wild Rose, WI 549846901

Phone: 9206225560

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.