MS. THEA N CLOUSE-GAWRONSKI PA-C
NPI 1063537819
Physician Assistant in Muskegon, MI

Q: What is Thea Clouse-gawronski's NPI number?

The NPI number for Thea Clouse-gawronski is 1063537819. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Thea Clouse-gawronski's specialty?

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

Active since March 20, 2007PECOS Enrolled

81.63/100

CMS Quality Rating

1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444(231) 672-4243(231) 727-4217 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Thea N Clouse-gawronski Pa-c NPPES

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

MS. THEA N CLOUSE-GAWRONSKI PA-C (NPI 1063537819) is an individual physician assistant in Muskegon, Michigan, licensed in Michigan (5601004262) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Muskegon.

NPPES Registry Identity

NPI1063537819

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. THEA N CLOUSE-GAWRONSKICredential: PA-C

Location Address1150 E SHERMAN BLVD STE 2400Muskegon, MI 49444-1886

Mailing Address1150 E Sherman Blvd Ste 2400Muskegon, MI 49444-1886 · (231) 672-4243 · Fax (231) 727-4217

Phone(231) 672-4243

Fax(231) 727-4217

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateOctober 16, 2023

NPPES CertifiedOctober 16, 2023

✔ NPI 1063537819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601004262

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.

1150 E SHERMAN BLVD STE 2400, Muskegon, MI 49444

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Secondary Practice Location 1

Location 11675 Leahy St, Suite 401Muskegon, MI 49442-5500 · Phone (231) 727-4243 · Fax (231) 727-4262

Other Identifiers 1

Other5411258MI · Bcbs Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Thea N Clouse-gawronski Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

104 services65 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.85

Improvement Activities

Cost

58.94

Other Providers at the Same Location NPPES 20

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

DR. HANS CHRISTIAN BRUNTMYER D.O.

Neuromusculoskeletal Medicine & OMM