MELISSA J GAUTHIER PA C
NPI 1902861164
Physician Assistant in Eldorado, IL

Q: What is Melissa Gauthier's NPI number?

The NPI number for Melissa Gauthier is 1902861164. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Melissa Gauthier's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Gauthier was last updated on April 22, 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.

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1306 MAPLE ST, ELDORADO, IL 62930(618) 273-3361(618) 297-9669 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Melissa J Gauthier Pa C NPPES

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

MELISSA J GAUTHIER PA C (NPI 1902861164) is an individual physician assistant in Eldorado, Illinois, licensed in Illinois (085.000899) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1902861164

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMELISSA J GAUTHIERCredential: PA C

Location Address1306 MAPLE STEldorado, IL 62930-1662

Mailing Address1306 Maple StEldorado, IL 62930-1662 · (618) 273-3361 · Fax (618) 297-9669

Phone(618) 273-3361

Fax(618) 297-9669

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateApril 19, 2006

Last NPPES UpdateApril 22, 2022

NPPES CertifiedApril 22, 2022

✔ NPI 1902861164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.000899

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.

1306 MAPLE ST, Eldorado, IL 62930

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Melissa J Gauthier 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 ID2466463971

PECOS Enrollment IDI20060518000014

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.

Hospital Affiliations CMS Care Compare

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141324

Location1201 Pine StreetEldorado, IL 62930 · Saline County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62930 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

100/100

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

Scored as part of a group practice

Quality

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers30 claims46 services$5.44 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier14 claims14 services$73.62 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier29 claims29 services$19.79 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier29 claims29 services$8.44 avg. paid by Medicare

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

3 suppliers45 claims45 services$110.60 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers14 claims14 services$35.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 16

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

MRS. DELLENIA DALE HAZEL LPN

Licensed Practical Nurse

1306 MAPLE ST, DOCTORS CLINIC
ELDORADO, IL 62930

Saline County (618) 273-2360

CASEY L CARLILE FNP

Nurse Practitioner (Family)