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MR. MICHAEL THOMAS GAUTHIER PA-C
NPI 1235217597
Physician Assistant in Woonsocket, RI

Active since November 02, 2006PECOS Enrolled
115 CASS AVE, WOONSOCKET, RI 02895(401) 769-4100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael Thomas Gauthier Pa-c NPPES

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

MR. MICHAEL THOMAS GAUTHIER PA-C (NPI 1235217597) is an individual physician assistant in Woonsocket, Rhode Island, licensed in Rhode Island (PA00427) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235217597
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL THOMAS GAUTHIERCredential: PA-C
Location Address115 CASS AVEWoonsocket, RI 02895-4705
Mailing Address15 Sheffield Ave.Pawtucket, RI 02860 · (401) 727-2731
Phone(401) 769-4100
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235217597 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 RI · PA00427
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.
115 CASS AVE, Woonsocket, RI 02895
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Mr. Michael Thomas Gauthier 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 6

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services69 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

CHARLES J KIM MD
Anesthesiology
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANA ADEL TANNOUS MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
BLACKSTONE MEDICAL CENTER, INC.
Internal Medicine
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. OMAR ALKASABRAH MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANDMARK MEDICAL CENTER
Internal Medicine (Cardiovascular Disease)
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. DAREN D GIRARD MD
Emergency Medicine
115 CASS AVE, EMERGENCY MEDICINE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
EMILY HOCHREINER
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
SALMAN AYUB JAJJA MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100

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 Michael Gauthier's NPI number?

The NPI number for Michael Gauthier is 1235217597. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Michael Gauthier located?

Michael Gauthier practices at 115 Cass Ave, Woonsocket, RI 02895. The listed phone number is (401) 769-4100.

What is Michael Gauthier's specialty?

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

Is Michael Gauthier enrolled in Medicare?

Yes. Michael Gauthier is registered in the Medicare PECOS enrollment system.

What insurance does Michael Gauthier accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Gauthier 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 Michael Gauthier was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.