1. Home
  2. Directory
  3. Wisconsin
  4. Baraboo
  5. Physician Assistant
  6. NPI Profile

THOMAS D MARYNIAK P.A.
NPI 1780933267
Physician Assistant in Baraboo, WI

Active since August 30, 2012PECOS Enrolled
1670 SOUTH BLVD, BARABOO, WI 53913(608) 356-9318 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2022, Feb 24, 2021, Nov 10, 2020 and 1 more (4 updates tracked since 2017).

About Thomas D Maryniak P.a. NPPES

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

THOMAS D MARYNIAK P.A. (NPI 1780933267) is an individual physician assistant in Baraboo, Wisconsin, licensed in New York (017987) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1780933267
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS D MARYNIAKCredential: P.A.
Location Address1670 SOUTH BLVDBaraboo, WI 53913-2937
Mailing Address2500 Overlook TerMadison, WI 53705-2254 · (608) 256-1901
Phone(608) 356-9318
Sole ProprietorNo
Enumeration DateAugust 30, 2012
Last NPPES UpdateApril 19, 20224 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1780933267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 017987✔ Licensed in IL · 085004408✔ Licensed in FL · PA9107786
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA031016 (DC)
1670 SOUTH BLVD, Baraboo, WI 53913
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 Overlook TerMadison, WI 53705-2254 · Phone (608) 256-1901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas D Maryniak P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53913 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.

Other Providers at the Same Location NPPES 3

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

JERRY RAY JONES
Nurse Practitioner (Adult Health)
1670 SOUTH BLVD
BARABOO, WI 53913
Sauk County (608) 356-9318
BARBARA MALEK REGISTERED NURSE
Registered Nurse (Case Management)
1670 SOUTH BLVD
BARABOO, WI 53913
Sauk County (608) 356-9318
LISA LYNN JAMES RN
Registered Nurse
1670 SOUTH BLVD
BARABOO, WI 53913
Sauk County (608) 356-9318

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 Thomas Maryniak's NPI number?

The NPI number for Thomas Maryniak is 1780933267. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Thomas Maryniak located?

Thomas Maryniak practices at 1670 South Blvd, Baraboo, WI 53913. The listed phone number is (608) 356-9318.

What is Thomas Maryniak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Maryniak enrolled in Medicare?

Yes. Thomas Maryniak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Maryniak was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.