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MR. GERALD DENNIS FUSHIANES PA-C
NPI 1881727113
Physician Assistant in Tomah, WI

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
501 GOPHER DR, TOMAH, WI 54660(608) 371-2181 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Jan 4, 2021, Sep 16, 2020 and 4 more (7 updates tracked since 2018).

About Mr. Gerald Dennis Fushianes Pa-c NPPES

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

MR. GERALD DENNIS FUSHIANES PA-C (NPI 1881727113) is an individual physician assistant in Tomah, Wisconsin, licensed in Wisconsin (1811-023) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Tomah Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1881727113
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GERALD DENNIS FUSHIANESCredential: PA-C
Location Address501 GOPHER DRTomah, WI 54660-4513
Mailing Address501 Gopher DrTomah, WI 54660-4513 · (608) 371-2181
Phone(608) 371-2181
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 14, 2007
Last NPPES UpdateJune 30, 20257 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1881727113 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
License✔ Licensed in WI · 1811-023
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 002256 (IA), AMD-312 (HI), 1351 (NE), PA19722 (CA), 1811-023 (WI), 5601002730 (MI), 10386 (MN)
501 GOPHER DR, Tomah, WI 54660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica.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. Gerald Dennis Fushianes 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 ID9436102340
PECOS Enrollment IDI20050302000732
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 4

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.
98 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$118.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALEXANDER MORGAN OTR/L
Occupational Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8354
KIMBERLY ANN TOZER CRNA
Nurse Anesthetist, Certified Registered
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
CAITLIN ANNE CALIRI DPT
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8368
MARY MACKENZIE LANE-PEOT DNP
Nurse Practitioner (Family)
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
DR. DYLANA PAIGE SCHREINER PT, DPT
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8740
AGNIESZKA DENDURA
Nurse Practitioner
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 371-2181
TOMAH MEMORIAL HOSPITAL INC
Non-Pharmacy Dispensing Site
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 372-2181
PAYTON MARIE DEMEYER SLP
Speech-Language Pathologist
501 GOPHER DR
TOMAH, WI 54660
Monroe County (608) 377-8372

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 Gerald Fushianes's NPI number?

The NPI number for Gerald Fushianes is 1881727113. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Gerald Fushianes located?

Gerald Fushianes practices at 501 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 371-2181.

What is Gerald Fushianes's specialty?

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

Is Gerald Fushianes enrolled in Medicare?

Yes. Gerald Fushianes 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 Gerald Fushianes accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Gerald Fushianes 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 Gerald Fushianes affiliated with any hospitals?

According to CMS data, Gerald Fushianes is affiliated with Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Fushianes was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.