DR. PAVEL GUIGAURI MD
NPI 1801874094
Internal Medicine - Interventional Cardiology in Wausau, WI

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
500 WIND RIDGE DR, WAUSAU, WI 54401(715) 847-2611(715) 847-2465 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pavel Guigauri Md NPPES

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

DR. PAVEL GUIGAURI MD (NPI 1801874094) is an individual interventional cardiology provider in Wausau, Wisconsin, licensed in Wisconsin (46636) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (1984).

NPPES Registry Identity

NPI1801874094
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. PAVEL GUIGAURICredential: MD
Location Address500 WIND RIDGE DRWausau, WI 54401-4173
Mailing Address500 Wind Ridge DrWausau, WI 54401-4173 · (715) 847-2611 · Fax (715) 847-2465
Fax(715) 847-2465
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 6, 2006
Last NPPES UpdateJanuary 16, 2023
NPPES CertifiedJanuary 16, 2023
NPI 1801874094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in WI · 46636
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
500 WIND RIDGE DR, Wausau, WI 54401

Other Identifiers 1

Medicaid34508800WI

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

Dr. Pavel Guigauri 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 ID5496729683
PECOS Enrollment IDI20040824000133, I20090206000447
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 20

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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
369 services25 patients
Injection, octafluoropropane microspheres, per ml Q9956
Octafluoropropane microspheres injection is a procedure where tiny gas-filled bubbles are injected into your bloodstream. These bubbles help improve the quality of ultrasound images by enhancing the contrast, aiding in the detection and diagnosis of certain conditions.
153 services51 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
142 services141 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.
142 services124 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
133 services132 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
93 services93 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

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)
500 WIND RIDGE DR
WAUSAU, WI 54401
Physician Assistant
500 WIND RIDGE DR, WAUSAU
WAUSAU, WI 54401
Nurse Practitioner (Primary Care)
500 WIND RIDGE DR
WAUSAU, WI 54401
Physician Assistant
500 WIND RIDGE DR
WAUSAU, WI 54401
Internal Medicine (Cardiovascular Disease)
500 WIND RIDGE DR
WAUSAU, WI 54401
Nurse Practitioner
500 WIND RIDGE DR
WAUSAU, WI 54401
Internal Medicine (Clinical Cardiac Electrophysiology)
500 WIND RIDGE DR
WAUSAU, WI 54401
Internal Medicine (Interventional Cardiology)
500 WIND RIDGE DR
WAUSAU, WI 54401

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 Pavel Guigauri's NPI number?

The NPI number for Pavel Guigauri is 1801874094. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Pavel Guigauri located?

Pavel Guigauri practices at 500 Wind Ridge Dr, Wausau, WI 54401. The listed phone number is (715) 847-2611.

What is Pavel Guigauri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Pavel Guigauri enrolled in Medicare?

Yes. Pavel Guigauri 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 Pavel Guigauri accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Pavel Guigauri 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 Pavel Guigauri affiliated with any hospitals?

According to CMS data, Pavel Guigauri is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center and Aspirus Tomahawk Hospital.

When was this NPI record last updated?

The NPPES record for Pavel Guigauri was last updated on January 16, 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.