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GALYNA CLOUS MD
NPI 1265827927
Internal Medicine - Hospice and Palliative Medicine in Grafton, WI

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
975 PORT WASHINGTON RD, GRAFTON, WI 53024(262) 329-1000 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Galyna Clous Md NPPES

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

GALYNA CLOUS MD (NPI 1265827927) is an individual hospice and palliative medicine provider in Grafton, Wisconsin, licensed in Wisconsin (86209) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center, and maintains a secondary practice location in Lansing.

NPPES Registry Identity

NPI1265827927
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameGALYNA CLOUSCredential: MD
Location Address975 PORT WASHINGTON RDGrafton, WI 53024-9201
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Phone(262) 329-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 31, 2015
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1265827927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Licenses✔ Licensed in WI · 86209✔ Licensed in MI · 4301504752
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301504752 (MI)
975 PORT WASHINGTON RD, Grafton, WI 53024
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Secondary Practice Location 1

Location 11215 East Michgan Ave.Lansing, MI 48912 · Phone (517) 364-2050

Other Identifiers 1

Medicaid100369722WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Galyna Clous 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 ID9335438043
PECOS Enrollment IDI20250828004589
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Galyna Clous reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Advanced Healthcare, Inc.
12 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Aurora Medical Group, Inc.
23 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Edward W Sparrow Hospital Association
146 mi
Pain Medicine
205 S DEXTER ST
Ionia, MI 48846
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1891486205 (616) 527-0558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
66 services48 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
59 services52 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services27 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.
34 services23 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.
32 services30 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

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.

ANNE R. HARLEY P.T.
Physical Therapist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1000
MRS. MARGARET AIKINS KEUP APNP
Nurse Practitioner (Acute Care)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1000
DR. TYLER ANDREW FRISQUE PHARMD
Pharmacist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1600
CAITLIN DERENNE PA
Physician Assistant
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (360) 606-4292
DR. TIMOTHY JARON POW M.D.
Internal Medicine (Interventional Cardiology)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-8150
REBEKAH L OTTE NP
Nurse Practitioner
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-8150
HAMID ABBAS AFSARI D.O.
Hospitalist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1000
JESSICA BROOKS RYAN SLP
Speech-Language Pathologist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-2700

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 Galyna Clous's NPI number?

The NPI number for Galyna Clous is 1265827927. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Galyna Clous located?

Galyna Clous practices at 975 Port Washington Rd, Grafton, WI 53024. The listed phone number is (262) 329-1000.

What is Galyna Clous's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Galyna Clous enrolled in Medicare?

Yes. Galyna Clous 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.

Which organizations bill Medicare for Galyna Clous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Galyna Clous reassigns Medicare benefits to 3 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (West Allis, WI) and Edward W Sparrow Hospital Association (Ionia, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Galyna Clous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Galyna Clous accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Priority Health list Galyna Clous 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 Galyna Clous affiliated with any hospitals?

According to CMS data, Galyna Clous is affiliated with Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Galyna Clous was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.