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MICHAEL J MCGAULEY DO
NPI 1851346191
Surgery in Janesville, WI

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
510 N TERRACE ST, JANESVILLE, WI 53548(608) 756-7277(608) 373-3115 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Mcgauley Do NPPES

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

MICHAEL J MCGAULEY DO (NPI 1851346191) is an individual surgery provider in Janesville, Wisconsin, licensed in Wisconsin (49239-021) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Watertown Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1851346191
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL J MCGAULEYCredential: DO
Location Address510 N TERRACE STJanesville, WI 53548-2906
Mailing Address510 N Terrace StJanesville, WI 53548-2906 · (608) 756-7277 · Fax (608) 373-3115
Phone(608) 756-7277
Fax(608) 373-3115
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 24, 2006
Last NPPES UpdateMarch 2, 2015
✔ NPI 1851346191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 49239-021
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
510 N TERRACE ST, Janesville, WI 53548
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Other Identifiers 5

Other2024867WI · Physicians Plus
Medicare PIN010557155WI
Medicaid43530800WI
Medicare UPINH78150
Other60433WI · Dean Health Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and more.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

Michael J Mcgauley Do 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 ID446269443
PECOS Enrollment IDI20060623000118
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services22 patients

Hospital Affiliations CMS Care Compare

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

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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 4

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

DAVID C LYNN MD
Surgery
510 N TERRACE ST
JANESVILLE, WI 53548
Rock County (608) 756-7277
DR. BOHDAN K WASILJEW MD
Surgery
510 N TERRACE ST
JANESVILLE, WI 53548
Rock County (608) 756-7277
DR. SAMUEL GEORGE VERCIMAK M.D.
Surgery
510 N TERRACE ST
JANESVILLE, WI 53548
Rock County (608) 756-6869
MRS. JULIE MARIE MARTIN APRN, FNP
Nurse Practitioner (Family)
510 N TERRACE ST
JANESVILLE, WI 53548
Rock County (608) 756-7277

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 Michael Mcgauley's NPI number?

The NPI number for Michael Mcgauley is 1851346191. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Michael Mcgauley located?

Michael Mcgauley practices at 510 N Terrace St, Janesville, WI 53548. The listed phone number is (608) 756-7277.

What is Michael Mcgauley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Mcgauley enrolled in Medicare?

Yes. Michael Mcgauley 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 Michael Mcgauley accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans and Network Health and 2 other insurers list Michael Mcgauley 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 Michael Mcgauley affiliated with any hospitals?

According to CMS data, Michael Mcgauley is affiliated with Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mcgauley was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.