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MARC GUNDERSON MD
NPI 1194067561
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
1155 N MAYFAIR RD, MILWAUKEE, WI 53226(414) 955-5990(414) 955-6282 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc Gunderson Md NPPES

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

MARC GUNDERSON MD (NPI 1194067561) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (62813-20) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical College Of Wisconsin (2013).

NPPES Registry Identity

NPI1194067561
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARC GUNDERSONCredential: MD
Location Address1155 N MAYFAIR RDMilwaukee, WI 53226-3462
Mailing Address1155 N Mayfair RdMilwaukee, WI 53226-3462 · (414) 955-5990 · Fax (414) 955-6282
Phone(414) 955-5990
Fax(414) 955-6282
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2013
Enumeration DateMarch 22, 2013
Last NPPES UpdateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1194067561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WI · 62813-20✔ Licensed in MO · 2017014153
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1155 N MAYFAIR RD, Milwaukee, WI 53226
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Secondary Practice Locations 2

Location 11129 Macklind AveSaint Louis, MO 63110-1440 · Phone (314) 534-0200
Location 2W129N7055 Northfield DrMenomonee Falls, WI 53051-0538 · Phone (262) 253-5400 · Fax (262) 253-3399

Other Identifiers 1

Medicaid1194067561WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica 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

Marc Gunderson 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 ID2769709252
PECOS Enrollment IDI20150320002019
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

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 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.
69 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

KEVIN BOZYMSKI PHARMD, BCPS
Pharmacist (Psychiatric)
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8950
STEVEN BONDOW MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
MR. STEVEN C. MAJSTORAVICH PTA
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. SABINA DIEHR MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
DR. CHRISTOPHER E WOLFLA MD
Neurological Surgery
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-9255
DR. PHILIP A NELSON MD
Physical Medicine & Rehabilitation
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-7199
DR. MICHAEL DIMARCO JR. PSY.D.
Psychologist (Clinical)
1155 N MAYFAIR RD, THIRD FLOOR
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900
MR. JOSEPH S. GOVEAS M.D.
Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900

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 Marc Gunderson's NPI number?

The NPI number for Marc Gunderson is 1194067561. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Marc Gunderson located?

Marc Gunderson practices at 1155 N Mayfair Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-5990.

What is Marc Gunderson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marc Gunderson enrolled in Medicare?

Yes. Marc Gunderson 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.

What insurance does Marc Gunderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica and Network Health list Marc Gunderson 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.

When was this NPI record last updated?

The NPPES record for Marc Gunderson was last updated on June 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.