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

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: July 19, 2026.

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.

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
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

Other Identifiers 1

Other5411258MI · Bcbs Pin

Accepted 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 2024 & 2026 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
Quality89.85
Improvement Activities20
Cost58.94

Other Providers at the Same Location NPPES 19

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

Neuromusculoskeletal Medicine & OMM
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Neuromusculoskeletal Medicine & OMM
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physician Assistant
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physician Assistant
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Neurological Surgery
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physical Medicine & Rehabilitation
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physician Assistant
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physical Medicine & Rehabilitation
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063537819, enumerated as an "individual" on March 20, 2007.

The provider is located at 1150 E SHERMAN BLVD STE 2400 MUSKEGON, MI 49444 and the phone number is (231) 672-4243.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.