MARC CHRISTIAN GAUTHIER M.D.
NPI 1649407628
Internal Medicine - Pulmonary Disease in Pittsburgh, PA

Q: What is Marc Gauthier's NPI number?

The NPI number for Marc Gauthier is 1649407628. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Q: What is Marc Gauthier's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marc Gauthier was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment

78.53/100

CMS Quality Rating

3459 5TH AVE, PITTSBURGH, PA 15213(412) 692-2210 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Marc Christian Gauthier M.d. NPPES

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

MARC CHRISTIAN GAUTHIER M.D. (NPI 1649407628) is an individual pulmonary disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD445493) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Vanderbilt University School Of Medicine (2009).

NPPES Registry Identity

NPI1649407628

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMARC CHRISTIAN GAUTHIERCredential: M.D.

Location Address3459 5TH AVEPittsburgh, PA 15213-3236

Mailing Address2 Hot Metal St, Quantum One, Suite 001Pittsburgh, PA 15203-2348 · (412) 647-3087

Phone(412) 692-2210

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2009

Enumeration DateJune 17, 2009

Last NPPES UpdateJanuary 31, 2023

NPPES CertifiedJanuary 31, 2023

✔ NPI 1649407628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in PA · MD445493

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 MD445493 (PA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD445493 (PA)

3459 5TH AVE, Pittsburgh, PA 15213

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Other Identifiers 1

Medicaid102759465PA

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

Marc Christian Gauthier 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 ID6608025804

PECOS Enrollment IDI20121003000664

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 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.

68 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

67 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.

23 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390328

Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

78.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.61

Promoting Interoperability

100

Improvement Activities

Cost

53.82

Referred Medical Equipment & Supplies CMS DME claims 7

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$0.80 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims21 services$61.34 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$27.68 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers12 claims720 services$4.41 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers14 claims1,080 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers12 claims720 services$0.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Chajkowski January 6, 2026

5/5

He goes above and beyond, truly is an amazing doctor and i am beyond grateful for his care.

Provider 5/5 Office Staff 5/5

Visited this provider? Share your experience.

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.

MRS. LORI SMITH MACEDONIA

Physician Assistant (Medical)

3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL, ALZHEIMER RESEARCH CENTER
PITTSBURGH, PA 15213

Allegheny County (412) 692-2700

DR. ANGELA CORINNE WILLIAMS MD

Physical Medicine & Rehabilitation

3459 5TH AVE
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

MRS. SUSAN AUDREY STARK MS, RD, LD

Dietitian, Registered

3459 5TH AVE
PITTSBURGH, PA 15213

Allegheny County (412) 647-2906

DANIEL SULLIVAN

Internal Medicine

3459 5TH AVE, UPMC MONTEFIORE NW628
PITTSBURGH, PA 15213

Allegheny County (412) 692-2213

MRS. MARGARET ANN STOEFF CRNP

Nurse Practitioner (Family)

3459 5TH AVE, NW 628
PITTSBURGH, PA 15213

Allegheny County (412) 692-2210

CHELSEA STEWART

Physician Assistant

3459 5TH AVE, 2ND FLOOR RADIOLOGY
PITTSBURGH, PA 15213

Allegheny County (412) 647-5800

ALLISON GAYLE AGNONE DNP

Clinical Nurse Specialist (Acute Care)

3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL
PITTSBURGH, PA 15213

Allegheny County (412) 692-2717

DR. AMIT BASU MD

Specialist

3459 5TH AVE, N725
PITTSBURGH, PA 15213

Allegheny County (412) 647-5730

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 Marc Gauthier's NPI number?

The NPI number for Marc Gauthier is 1649407628. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Marc Gauthier located?

Marc Gauthier practices at 3459 5th Ave, Pittsburgh, PA 15213. The listed phone number is (412) 692-2210.

What is Marc Gauthier's specialty?

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

Is Marc Gauthier enrolled in Medicare?

Yes. Marc Gauthier 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 Marc Gauthier affiliated with any hospitals?

According to CMS data, Marc Gauthier is affiliated with Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Marc Gauthier was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.