THERESA M GUNNARSON MD
NPI 1427026780
Emergency Medicine in Amery, WI

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
90.32/100
CMS Quality Rating
265 GRIFFIN ST E, AMERY, WI 54001(715) 268-8000 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa M Gunnarson Md NPPES

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

THERESA M GUNNARSON MD (NPI 1427026780) is an individual emergency medicine provider in Amery, Wisconsin, licensed in Wisconsin (43477) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1427026780
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTHERESA M GUNNARSONCredential: MD
Location Address265 GRIFFIN ST EAmery, WI 54001-1439
Mailing Address407 E 3rd St, Essentia Health St. Mary's Medical CenterDuluth, MN 55805-1950 · (218) 786-4357
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 10, 2006
Last NPPES UpdateMay 10, 2019
NPI 1427026780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in WI · 43477 Licensed in MN · 40943
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
265 GRIFFIN ST E, Amery, WI 54001

Secondary Practice Locations 5

Location 1535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600
Location 2640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-3456
Location 3927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 439-5330
Location 4405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000
Location 5407 E 3rd St, Essentia Health St. Mary's Medical CenterDuluth, MN 55805-1950 · Phone (218) 786-4357

Other Identifiers 1

Medicaid406025300MN

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

Theresa M Gunnarson 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 ID7618949876
PECOS Enrollment IDI20061207000196
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
236 services227 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
121 services120 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
64 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54001 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.

90.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.18
Promoting Interoperability100
Improvement Activities40
Cost65.92

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.

Emergency Medicine
265 GRIFFIN ST E
AMERY, WI 54001
Family Medicine
265 GRIFFIN ST E
AMERY, WI 54001
Nurse Practitioner (Family)
265 GRIFFIN ST E
AMERY, WI 54001
Nurse Anesthetist, Certified Registered
265 GRIFFIN ST E
AMERY, WI 54001
Home Infusion
265 GRIFFIN ST E
AMERY, WI 54001
Nurse Practitioner (Family)
265 GRIFFIN ST E
AMERY, WI 54001
Surgery
265 GRIFFIN ST E
AMERY, WI 54001
Family Medicine
265 GRIFFIN ST E
AMERY, WI 54001

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 Theresa Gunnarson's NPI number?

The NPI number for Theresa Gunnarson is 1427026780. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Theresa Gunnarson located?

Theresa Gunnarson practices at 265 Griffin St E, Amery, WI 54001. The listed phone number is (715) 268-8000.

What is Theresa Gunnarson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theresa Gunnarson enrolled in Medicare?

Yes. Theresa Gunnarson 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 Theresa Gunnarson accept?

Health plans from Medica and Sanford Health Plan list Theresa Gunnarson 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 Theresa Gunnarson affiliated with any hospitals?

According to CMS data, Theresa Gunnarson is affiliated with Regions Hospital and Amery Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Theresa Gunnarson was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.