GONZALO BARINAGA M.D.
NPI 1730528217
Orthopaedic Surgery - Hand Surgery in Wauwatosa, WI

Active since June 18, 2013PECOS EnrolledAccepts Medicare Assignment
81.61/100
CMS Quality Rating
3077 N MAYFAIR RD STE 100, WAUWATOSA, WI 53222(414) 384-6700(414) 727-1058 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2026, Dec 5, 2024, Jun 29, 2021 and 1 more (4 updates tracked since 2020).

About Gonzalo Barinaga M.d. NPPES

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

GONZALO BARINAGA M.D. (NPI 1730528217) is an individual hand surgery provider in Wauwatosa, Wisconsin, licensed in Wisconsin (69547-20) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Ascension St Francis Hospital, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1730528217
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameGONZALO BARINAGACredential: M.D.
Location Address3077 N MAYFAIR RD STE 100Wauwatosa, WI 53222-4305
Mailing Address3077 N Mayfair Rd Ste 305Wauwatosa, WI 53222-4305 · (414) 384-6700 · Fax (414) 727-1058
Fax(414) 727-1058
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2013
Enumeration DateJune 18, 2013
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1730528217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in WI · 69547-20
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 69547-20 (WI), 125.063004 (IL)
3077 N MAYFAIR RD STE 100, Wauwatosa, WI 53222

Secondary Practice Location 1

Location 11110 Kepler DrGreen Bay, WI 54311-8306 · Phone (920) 288-5555 · Fax (920) 288-5550

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

Gonzalo Barinaga 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 ID1355583345
PECOS Enrollment IDI20190730003751
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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
153 services31 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.
113 services81 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.
91 services61 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
43 services38 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
33 services29 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
31 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Midwest Orthopedic Specialty Hospital

Acute Care Hospitals · Franklin, WI
OwnershipPhysician
CMS Certification Number520205
Location10101 South 27th St 2nd FloorFranklin, WI 53132 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

81.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222
Orthopaedic Surgery
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222
Physician Assistant
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222
Nurse Practitioner
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222
Nurse Practitioner
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222
Physician Assistant
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222
Nurse Practitioner
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222
Physician Assistant (Surgical)
3077 N MAYFAIR RD STE 100
WAUWATOSA, WI 53222

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 Gonzalo Barinaga's NPI number?

The NPI number for Gonzalo Barinaga is 1730528217. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Gonzalo Barinaga located?

Gonzalo Barinaga practices at 3077 N Mayfair Rd Ste 100, Wauwatosa, WI 53222. The listed phone number is (414) 384-6700.

What is Gonzalo Barinaga's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Gonzalo Barinaga enrolled in Medicare?

Yes. Gonzalo Barinaga 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 Gonzalo Barinaga accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and UnitedHealthcare list Gonzalo Barinaga 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 Gonzalo Barinaga affiliated with any hospitals?

According to CMS data, Gonzalo Barinaga is affiliated with Ascension St Francis Hospital, Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Midwest Orthopedic Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Gonzalo Barinaga was last updated on April 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.