ANTOINETTE GONZAGA HAYEK M.D
NPI 1255390209
Family Medicine in Wausau, WI

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
2727 PLAZA DR, WAUSAU, WI 54401(715) 847-3000 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antoinette Gonzaga Hayek M.d NPPES

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

ANTOINETTE GONZAGA HAYEK M.D (NPI 1255390209) is an individual family medicine provider in Wausau, Wisconsin, licensed in Wisconsin (62545) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1998).

NPPES Registry Identity

NPI1255390209
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANTOINETTE GONZAGA HAYEKCredential: M.D
Location Address2727 PLAZA DRWausau, WI 54401-4129
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 847-3000
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1998
Enumeration DateMarch 20, 2006
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1255390209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 62545
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedLegal MedicineTaxonomy 173000000X · License 20080309 (NM)
2727 PLAZA DR, Wausau, WI 54401

Other Names 1

Former Name (1)Antoinette Gonzaga M.d.

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

Antoinette Gonzaga Hayek M.d 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 ID4789615915
PECOS Enrollment IDI20140717001867
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 5

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.
187 services119 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims34 services$6.07 avg. paid by Medicare
Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims14 services$6.36 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$1.83 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$10.11 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier14 claims28 services$8.00 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims429 services$3.27 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 20

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

Nurse Practitioner (Adult Health)
2727 PLAZA DR
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
2727 PLAZA DR
WAUSAU, WI 54401
Physical Medicine & Rehabilitation
2727 PLAZA DR
WAUSAU, WI 54401
Physician Assistant
2727 PLAZA DR
WAUSAU, WI 54401
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Internal Medicine (Rheumatology)
2727 PLAZA DR
WAUSAU, WI 54401
Radiology (Diagnostic Radiology)
2727 PLAZA DR
WAUSAU, WI 54401
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401

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 Antoinette Hayek's NPI number?

The NPI number for Antoinette Hayek is 1255390209. It was assigned to this individual provider in the NPPES registry on March 20, 2006. The provider is also known as Antoinette Gonzaga M.D..

Where is Antoinette Hayek located?

Antoinette Hayek practices at 2727 Plaza Dr, Wausau, WI 54401. The listed phone number is (715) 847-3000.

What is Antoinette Hayek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Antoinette Hayek enrolled in Medicare?

Yes. Antoinette Hayek 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 Antoinette Hayek accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Sanford Health Plan and Security Health Plan list Antoinette Hayek 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 Antoinette Hayek affiliated with any hospitals?

According to CMS data, Antoinette Hayek is affiliated with Marshfield Medical Center, Marshfield Medical Center - Weston and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Antoinette Hayek was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.