DR. ROBERT VINCENT GOUTHRO JR. M.D.
NPI 1285752089
Psychiatry & Neurology - Psychiatry in Weston, WI

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
88.97/100
CMS Quality Rating
5703 MEMORIAL CT, WESTON, WI 54476(715) 204-9808 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2025, Jan 10, 2023 (2 updates tracked since 2023).

About Dr. Robert Vincent Gouthro Jr. M.d. NPPES

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

DR. ROBERT VINCENT GOUTHRO JR. M.D. (NPI 1285752089) is an individual psychiatry provider in Weston, Wisconsin, licensed in Wisconsin (53075-020) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1285752089
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ROBERT VINCENT GOUTHRO JR.Credential: M.D.
Location Address5703 MEMORIAL CTWeston, WI 54476-6502
Mailing Address5703 Memorial CtWeston, WI 54476-6502 · (715) 204-9808
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2007
Enumeration DateMarch 27, 2007
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1285752089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in WI · 53075-020
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.

5703 MEMORIAL CT, Weston, WI 54476

Secondary Practice Location 1

Location 12680 Vernon DrGreen Bay, WI 54304-5374 · Phone (920) 496-4700

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. Robert Vincent Gouthro Jr. 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 ID5698813509
PECOS Enrollment IDI20091113000391
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
96 services25 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.
74 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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.

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.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.89
Promoting Interoperability100
Improvement Activities40
Cost69.92

Other Providers at the Same Location NPPES 4

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

Psychiatry & Neurology (Psychiatry)
5703 MEMORIAL CT
WESTON, WI 54476
Registered Nurse
5703 MEMORIAL CT
WESTON, WI 54476
Nurse Practitioner (Psychiatric/Mental Health)
5703 MEMORIAL CT
WESTON, WI 54476
Psychologist
5703 MEMORIAL CT
WESTON, WI 54476

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285752089, enumerated as an "individual" on March 27, 2007.

The provider is located at 5703 MEMORIAL CT WESTON, WI 54476 and the phone number is (715) 204-9808.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Robert Gouthro is affiliated with: MARSHFIELD MEDICAL CENTER.