DR. SARAH E GUNTHER DO
NPI 1245369016
Internal Medicine - Pulmonary Disease in Muskegon, MI

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
93.28/100
CMS Quality Rating
1560 E SHERMAN BLVD, SUITE 250, MUSKEGON, MI 49444(231) 672-8145(231) 672-8111 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sarah E Gunther Do NPPES

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

DR. SARAH E GUNTHER DO (NPI 1245369016) is an individual pulmonary disease provider in Muskegon, Michigan, licensed in Michigan (5101016334) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1245369016
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SARAH E GUNTHERCredential: DO
Location Address1560 E SHERMAN BLVD, SUITE 250Muskegon, MI 49444-1867
Mailing AddressPo Box 1847Muskegon, MI 49443-1847 · (231) 727-4444 · Fax (231) 728-4789
Fax(231) 672-8111
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2005
Enumeration DateMarch 5, 2007
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
NPI 1245369016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in MI · 5101016334 Licensed in WI · 55411-21
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101016334 (MI)
1560 E SHERMAN BLVD, Muskegon, MI 49444

Other Identifiers 2

Medicaid1245369016MI
Medicaid114766528MI

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 and accepts Medicare assignment

Dr. Sarah E Gunther Do 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 ID4183892888
PECOS Enrollment IDI20120330000317
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 11

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
113 services42 patients
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.
105 services58 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
85 services85 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
78 services78 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
67 services67 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230174
Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County
Emergency services

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

93.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.4

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers53 claims53 services$38.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers70 claims70 services$90.09 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers50 claims124 services$34.24 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers33 claims160 services$21.25 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers16 claims73 services$13.60 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers43 claims43 services$55.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Specialist
1560 E SHERMAN BLVD, SUITE 245
MUSKEGON, MI 49444
Prosthetic/Orthotic Supplier
1560 E SHERMAN BLVD
MUSKEGON, MI 49444
Clinic/Center (Occupational Medicine)
1560 E SHERMAN BLVD, SUITE 125
MUSKEGON, MI 49444
Physician Assistant
1560 E SHERMAN BLVD
MUSKEGON, MI 49444
Nurse Practitioner (Family)
1560 E SHERMAN BLVD, STE 250
MUSKEGON, MI 49444
Internal Medicine
1560 E SHERMAN BLVD, SUITE 215
MUSKEGON, MI 49444
Internal Medicine (Pulmonary Disease)
1560 E SHERMAN BLVD, SUITE 250
MUSKEGON, MI 49444
Internal Medicine (Pulmonary Disease)
1560 E SHERMAN BLVD, STE 250
MUSKEGON, MI 49444

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 Sarah Gunther's NPI number?

The NPI number for Sarah Gunther is 1245369016. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Sarah Gunther located?

Sarah Gunther practices at 1560 E Sherman Blvd Suite 250, Muskegon, MI 49444. The listed phone number is (231) 672-8145.

What is Sarah Gunther's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sarah Gunther enrolled in Medicare?

Yes. Sarah Gunther 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 Sarah Gunther accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Sarah Gunther 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 Sarah Gunther affiliated with any hospitals?

According to CMS data, Sarah Gunther is affiliated with Trinity Health Muskegon Hospital, Trinity Health Grand Haven Hospital and Mercy Health Lakeshore Campus.

When was this NPI record last updated?

The NPPES record for Sarah Gunther was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.