DR. MARKUS GUTSCHE MD
NPI 1437315975
Internal Medicine - Pulmonary Disease in Syracuse, NY

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
90 PRESIDENTIAL PLAZA, SECOND FLOOR, SYRACUSE, NY 13202(315) 464-5240(315) 464-3751 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Markus Gutsche Md NPPES

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

DR. MARKUS GUTSCHE MD (NPI 1437315975) is an individual pulmonary disease provider in Syracuse, New York, licensed in New York (292668) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1437315975
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARKUS GUTSCHECredential: MD
Location Address90 PRESIDENTIAL PLAZA, SECOND FLOORSyracuse, NY 13202
Mailing Address251 Salina Meadows Pkwy, Suite 100Syracuse, NY 13212 · (315) 464-2014 · Fax (315) 464-2010
Fax(315) 464-3751
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 4, 2008
Last NPPES UpdateApril 16, 2018
NPI 1437315975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NY · 292668 Licensed in CA · A107755 Licensed in OH · 35.099981
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 292668 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.099981 (OH), A107755 (CA), 292668 (NY)
90 PRESIDENTIAL PLAZA, Syracuse, NY 13202

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. Markus Gutsche 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 ID4880842582
PECOS Enrollment IDI20180604000126
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services51 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.
36 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services18 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.
24 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13202 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.86
Promoting Interoperability100
Improvement Activities40
Cost52.79

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$76.11 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers17 claims17 services$15.70 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers18 claims18 services$9.00 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
11 suppliers29 claims160 services$1.82 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
8 suppliers11 claims11 services$9.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers31 claims31 services$12.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Cardiovascular Disease)
90 PRESIDENTIAL PLAZA, STE 5010
SYRACUSE, NY 13202
Nurse Practitioner (Family)
90 PRESIDENTIAL PLAZA, 2ND FLOOR
SYRACUSE, NY 13202
Nurse Practitioner (Family)
90 PRESIDENTIAL PLAZA
SYRACUSE, NY 13202
Internal Medicine
90 PRESIDENTIAL PLAZA, UHCC, ADULT MEDICINE
SYRACUSE, NY 13202
Obstetrics & Gynecology (Maternal & Fetal Medicine)
90 PRESIDENTIAL PLAZA, 3RD FL
SYRACUSE, NY 13202
Nurse Practitioner (Pediatrics)
90 PRESIDENTIAL PLAZA, 3RD FL
SYRACUSE, NY 13202
Internal Medicine (Nephrology)
90 PRESIDENTIAL PLAZA, FIRM C
SYRACUSE, NY 13202
Nurse Practitioner (Family)
90 PRESIDENTIAL PLAZA, 3RD FL
SYRACUSE, NY 13202

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 Markus Gutsche's NPI number?

The NPI number for Markus Gutsche is 1437315975. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Markus Gutsche located?

Markus Gutsche practices at 90 Presidential Plaza Second Floor, Syracuse, NY 13202. The listed phone number is (315) 464-5240.

What is Markus Gutsche's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Markus Gutsche enrolled in Medicare?

Yes. Markus Gutsche 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.

Is Markus Gutsche affiliated with any hospitals?

According to CMS data, Markus Gutsche is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Markus Gutsche was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.