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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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Secondary Practice Locations 3

Location 1245 S Executive Dr Ste 201Brookfield, WI 53005-4204 · Phone (414) 367-9646

Location 22116 Craig RdEau Claire, WI 54701 · Phone (715) 858-4500

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, and ordering and referring status from the CMS PECOS system.

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.

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

Quality

78.16

Promoting Interoperability

Improvement Activities

Cost

57.63

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.

JAMES M ZASULY MD

Plastic Surgery