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MICHAEL GUNSON
NPI 1013528199
Physician Assistant in Johnston, RI

Active since August 12, 2020PECOS EnrolledAccepts Medicare Assignment
11 COMMERCE WAY STE 5, JOHNSTON, RI 02919(401) 606-2610 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Jul 13, 2022, Apr 26, 2021 and 2 more (5 updates tracked since 2020).

About Michael Gunson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL GUNSON (NPI 1013528199) is an individual physician assistant in Johnston, Rhode Island, licensed in Rhode Island (PA01266) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013528199
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL GUNSON
Location Address11 COMMERCE WAY STE 5Johnston, RI 02919-4613
Mailing Address1130 Ten Rod Rd Ste E305North Kingstown, RI 02852-4176
Phone(401) 606-2610
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 12, 2020
Last NPPES UpdateJanuary 19, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1013528199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01266
Definition
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License PA01266 (RI)
11 COMMERCE WAY STE 5, Johnston, RI 02919
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Secondary Practice Locations 2

Location 1345 Blackstone BlvdProvidence, RI 02906-4800 · Phone (401) 455-6346
Location 21130 Ten Rod Rd Ste E305North Kingstown, RI 02852-4176 · Phone (401) 294-0451

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Gunson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830500289
PECOS Enrollment IDI20201116002864
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services110 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services39 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
21 services21 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
18 services18 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE PIERCE RN, FNP-C
Nurse Practitioner
11 COMMERCE WAY STE 5
JOHNSTON, RI 02919
Providence County (401) 606-2610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gunson's NPI number?

The NPI number for Michael Gunson is 1013528199. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Michael Gunson located?

Michael Gunson practices at 11 Commerce Way Ste 5, Johnston, RI 02919. The listed phone number is (401) 606-2610.

What is Michael Gunson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Gunson enrolled in Medicare?

Yes. Michael Gunson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Gunson affiliated with any hospitals?

According to CMS data, Michael Gunson is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gunson was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.