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DR. TERESA A GONZAGA MD
NPI 1073776928
Surgery - Plastic and Reconstructive Surgery in Green Bay, WI

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
2605 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 288-8240(920) 857-1488 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2026, Dec 5, 2024, Oct 30, 2023 and 3 more (6 updates tracked since 2016).

About Dr. Teresa A Gonzaga Md NPPES

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

DR. TERESA A GONZAGA MD (NPI 1073776928) is an individual plastic and reconstructive surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (69135) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Aurora Baycare Medical Ctr, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073776928
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. TERESA A GONZAGACredential: MD
Location Address2605 DEVELOPMENT DRGreen Bay, WI 54311-4240
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005
Phone(920) 288-8240
Fax(920) 857-1488
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateApril 21, 20266 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1073776928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in WI · 69135
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2605 DEVELOPMENT DR, Green Bay, WI 54311
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12116 Craig RdEau Claire, WI 54701 · Phone (715) 858-4500
Location 2245 S Executive Dr Ste 201Brookfield, WI 53005-4204 · Phone (414) 367-9646
Location 3640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-5151 · Fax (651) 254-3123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Teresa A Gonzaga Md 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 ID1456522812
PECOS Enrollment IDI20180828003391
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Teresa Gonzaga reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baycare Clinic LLP
3.1 mi
Emergency Medicine
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 275 clinicians in this Medicare group
NPI 1588609648 (920) 288-8000
Mchs Hospitals, Inc.
76 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Columbia St. Mary's Hospital Milwaukee, Inc
83 mi
Multi-Specialty
13111 N PORT WASHINGTON RD
Mequon, WI 53097
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1710928221 (414) 270-4932
Ascension Medical Group-Southeast Wisconsin Inc
94 mi
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1609881077 (414) 465-3000
Marshfield Clinic Inc
109 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Lakeview Medical Center Inc Of Rice Lake
189 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000
Group Health, Inc.
241 mi
Family Medicine
921 GREELEY STREET
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1578932943 (651) 439-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 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.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 12

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

DR. WILLIAM J DIERBERG M.D.
Plastic Surgery
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
ALYXANDRIA KATHRYN ANDRUS PA-C
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
KELSEY ROSE ESSER
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
KARRI ADAMSON MD
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
AMBER CERNAT PA-C
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
GRACE WOODS
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
SPENCER KLEIN
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
BAYCARE CLINIC, LLP
Plastic Surgery
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240

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 Teresa Gonzaga's NPI number?

The NPI number for Teresa Gonzaga is 1073776928. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Teresa Gonzaga located?

Teresa Gonzaga practices at 2605 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 288-8240.

What is Teresa Gonzaga's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Teresa Gonzaga enrolled in Medicare?

Yes. Teresa Gonzaga 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.

Which organizations bill Medicare for Teresa Gonzaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Gonzaga reassigns Medicare benefits to 7 organizations: Baycare Clinic LLP (Green Bay, WI), Mchs Hospitals, Inc. (Plover, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI), Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI), Marshfield Clinic Inc (Marshfield, WI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Gonzaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Gonzaga accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 2 other insurers list Teresa Gonzaga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Teresa Gonzaga affiliated with any hospitals?

According to CMS data, Teresa Gonzaga is affiliated with Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Teresa Gonzaga was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.