DR. GARY L METCALF MD
NPI 1831216985
Family Medicine in Marinette, WI
About Dr. Gary L Metcalf Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY L METCALF MD (NPI 1831216985) is an individual family medicine provider in Marinette, Wisconsin, licensed in Wisconsin (67784-20) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Holy Rosary Healthcare, and maintains a secondary practice location in Friendship.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gary L Metcalf 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.
Medicare Billing Reassignments
4Medicare enrollment records show Gary Metcalf reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westfield, WI 53964
- Reassigned Medicare billing, Wisconsin enrollment
- 280 clinicians in this Medicare group
Miles City, MT 59301
- Reassigned Medicare billing, Montana enrollment
- 88 clinicians in this Medicare group
Englewood, CO 80110
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Vohra Wound Physicians Of The West PC
- 23 clinicians in this Medicare group
- Reassigned Medicare billing, Indiana enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Rosary Healthcare
Critical Access Hospitals · Miles City, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MARINETTE, WI 54143
MARINETTE, WI 54143
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 Gary Metcalf's NPI number?
The NPI number for Gary Metcalf is 1831216985. It was assigned to this individual provider in the NPPES registry on March 23, 2007.
Where is Gary Metcalf located?
Gary Metcalf practices at 4061 Old Peshtigo Rd, Marinette, WI 54143. The listed phone number is (715) 732-8050.
What is Gary Metcalf's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gary Metcalf enrolled in Medicare?
Yes. Gary Metcalf 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.
Which organizations bill Medicare for Gary Metcalf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Metcalf reassigns Medicare benefits to 4 organizations: Moundview Memorial Hospital & Clinics, Inc. (Westfield, WI), Holy Rosary Healthcare (Miles City, MT), Vohra Wound Physicians Of The West, P.C. (Englewood, CO) and Monroe Medical Group Inc (IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Metcalf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Metcalf accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Gary Metcalf 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 Gary Metcalf affiliated with any hospitals?
According to CMS data, Gary Metcalf is affiliated with Holy Rosary Healthcare.
When was this NPI record last updated?
The NPPES record for Gary Metcalf was last updated on July 21, 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.
# Dr. Gary L Metcalf, MD · NPI 1831216985
Family Medicine physician in Marinette, Wisconsin. Individual provider, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1831216985 (Entity type: Individual)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 67784-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 4061 OLD PESHTIGO RD, Marinette, WI 54143-3887
- **Phone:** (715) 732-8050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Moundview Memorial Hospital & Clinics, Inc. (NPI 1861829194, Westfield, WI); Holy Rosary Healthcare (NPI 1225201825, Miles City, MT); Vohra Wound Physicians Of The West, P.C. (NPI 1205176096, Englewood, CO); Monroe Medical Group Inc (IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 200920190 (IN); Other 01065310A (IN); Other 67784-20 (WI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1831216985) · Data from the CMS NPPES public registry.