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JOSEPH E GUENTHER M.D.
NPI 1720028343
Family Medicine in Keshena, WI

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
W3275 WOLF RIVER ROAD, KESHENA, WI 54135(715) 799-3361(715) 799-3099 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph E Guenther M.d. NPPES

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

JOSEPH E GUENTHER M.D. (NPI 1720028343) is an individual family medicine provider in Keshena, Wisconsin, licensed in Wisconsin (41375-020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of University Of Wisconsin School Of Medicine (1998).

NPPES Registry Identity

NPI1720028343
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH E GUENTHERCredential: M.D.
Location AddressW3275 WOLF RIVER ROADKeshena, WI 54135
Mailing AddressPo Box 970Keshena, WI 54135-0970 · (715) 799-3361 · Fax (715) 799-3099
Phone(715) 799-3361
Fax(715) 799-3099
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1998
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1720028343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 41375-020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
W3275 WOLF RIVER ROAD, Keshena, WI 54135
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Other Identifiers 1

Medicaid33347900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan, UnitedHealthcare.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

Joseph E Guenther 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 ID143414961
PECOS Enrollment IDI20101104001517
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 6

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.
39 services22 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
32 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services16 patients
Ldl cholesterol level 83721
The LDL cholesterol level is a test that measures the amount of low-density lipoprotein (LDL) in your blood. LDL is often referred to as 'bad cholesterol' because high levels can lead to heart disease. Regular testing helps monitor and manage your heart health.
22 services17 patients
Liver enzyme (sgpt), level 84460
A liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
18 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54135 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$16.28 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
1 supplier15 claims15 services$93.21 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.

PETER C. KEENAN M.D.
Family Medicine
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
SUE C WESO APNP
Nurse Practitioner (Family)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
MICHAEL J O'NEILL M.D.
Psychiatry & Neurology (Psychiatry)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
LEAH ROUSE
Psychologist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5451
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Mental Health (Including Community Mental Health Center))
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. THOMAS WALCZYK DDS
Dentist (General Practice)
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC
KESHENA, WI 54135
Menominee County (715) 799-3361
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Family Planning, Non-Surgical)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. ROBERT P CHELBERG O.D.
Optometrist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5482

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 Joseph Guenther's NPI number?

The NPI number for Joseph Guenther is 1720028343. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Joseph Guenther located?

Joseph Guenther practices at W3275 Wolf River Road, Keshena, WI 54135. The listed phone number is (715) 799-3361.

What is Joseph Guenther's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Guenther enrolled in Medicare?

Yes. Joseph Guenther 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 Joseph Guenther accept?

Health plans from Anthem Blue Cross and Blue Shield, Security Health Plan and UnitedHealthcare list Joseph Guenther 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 Joseph Guenther affiliated with any hospitals?

According to CMS data, Joseph Guenther is affiliated with Thedacare Regional Med Ctr - Neenah.

When was this NPI record last updated?

The NPPES record for Joseph Guenther was last updated on March 7, 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.