MR. GARY WILLIAM MOUSSEAU PA-C
NPI 1861593956
Physician Assistant - Medical in Fort Walton Beach, FL

Q: What is Gary Mousseau's NPI number?

The NPI number for Gary Mousseau is 1861593956. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Gary Mousseau's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Gary Mousseau was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

54.65/100

CMS Quality Rating

1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547(850) 863-6600(850) 862-0977 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Gary William Mousseau Pa-c NPPES

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

MR. GARY WILLIAM MOUSSEAU PA-C (NPI 1861593956) is an individual medical provider in Fort Walton Beach, Florida, licensed in Florida (PA9112347) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1861593956

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. GARY WILLIAM MOUSSEAUCredential: PA-C

Location Address1005 MAR WALT DRIVEFort Walton Beach, FL 32547-6707

Mailing Address1005 Mar Walt DrFort Walton Beach, FL 32547-6707 · (850) 863-6600 · Fax (850) 862-0977

Phone(850) 863-6600

Fax(850) 862-0977

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 30, 2019

✔ NPI 1861593956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9112347

1005 MAR WALT DRIVE, Fort Walton Beach, FL 32547

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.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

Mr. Gary William Mousseau Pa-c 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 ID9830427566

PECOS Enrollment IDI20190820000979

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 3

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.

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.

166 services159 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.

140 services124 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

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.

54.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.69

Promoting Interoperability

Improvement Activities

Cost

63.47

Reported Quality Measures

Breast Cancer Screening

54%158 patients3/55-star benchmark: 93%

Cervical Cancer Screening

24%124 patients1/55-star benchmark: 98%

Controlling High Blood Pressure

70%338 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

23%123 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

41%123 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

62%973 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

19%290 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

27%677 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

11%556 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

17%534 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 47% · 606 patients

Patients screened: 50% · 606 patients

43%28 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%253 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 307 patients

Patients totalRate: 12% · 311 patients

12%311 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604