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

Q: What is Robert Gouthro's NPI number?

The NPI number for Robert Gouthro is 1285752089. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is Robert Gouthro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Robert Gouthro was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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: August 16, 2026.

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

On this page

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 is a graduate of Medical College Of Wisconsin (2007).

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

Phone(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

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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, Aspirus Health Plan, HealthPartners and more.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 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

Quality

85.89

Promoting Interoperability

100

Improvement Activities

Cost

69.92

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.

DRG CLINICAL, SC

Psychiatry & Neurology (Psychiatry)

5703 MEMORIAL CT
WESTON, WI 54476

Marathon County (715) 204-9808

LISA GOUTHRO APSW

Registered Nurse

5703 MEMORIAL CT
WESTON, WI 54476

Marathon County (715) 204-9808

HEIDI K WARMBOLD NP

Nurse Practitioner (Psychiatric/Mental Health)

5703 MEMORIAL CT
WESTON, WI 54476

Marathon County (715) 204-9808

DR. TRISHA STEFONEK PSYD

Psychologist

5703 MEMORIAL CT
WESTON, WI 54476

Marathon County (715) 204-9808

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 Robert Gouthro's NPI number?

The NPI number for Robert Gouthro is 1285752089. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Robert Gouthro located?

Robert Gouthro practices at 5703 Memorial Ct, Weston, WI 54476. The listed phone number is (715) 204-9808.

What is Robert Gouthro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Robert Gouthro enrolled in Medicare?

Yes. Robert Gouthro 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 Robert Gouthro accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Providence Health Plan and 2 other insurers list Robert Gouthro 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 Robert Gouthro affiliated with any hospitals?

According to CMS data, Robert Gouthro is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Gouthro was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.