ANDREW M GUMINSKI
NPI 1316029143
Internal Medicine in West Bend, WI
About Andrew M Guminski NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW M GUMINSKI (NPI 1316029143) is an individual internal medicine provider in West Bend, Wisconsin, licensed in Wisconsin (44387) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Andrew M Guminski 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Beaver Dam (mmc-Bd)
Acute Care Hospitals · Beaver Dam, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Andrew Guminski's NPI number?
The NPI number for Andrew Guminski is 1316029143. It was assigned to this individual provider in the NPPES registry on October 20, 2006.
Where is Andrew Guminski located?
Andrew Guminski practices at 1700 W Paradise Dr, West Bend, WI 53095. The listed phone number is (262) 334-3451.
What is Andrew Guminski's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Andrew Guminski enrolled in Medicare?
Yes. Andrew Guminski 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 Andrew Guminski accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health, Quartz and Sanford Health Plan and 1 other insurer list Andrew Guminski 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 Andrew Guminski affiliated with any hospitals?
According to CMS data, Andrew Guminski is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).
When was this NPI record last updated?
The NPPES record for Andrew Guminski 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.
