ERIC S. GAENSLEN M.D.
NPI 1982633079
Orthopaedic Surgery - Hand Surgery in Grafton, WI

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
975 PORT WASHINGTON ROAD, SUITE 110, GRAFTON, WI 53024(262) 387-8300 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Nov 19, 2021 (2 updates tracked since 2021).

About Eric S. Gaenslen M.d. NPPES

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

ERIC S. GAENSLEN M.D. (NPI 1982633079) is an individual hand surgery provider in Grafton, Wisconsin, licensed in Wisconsin (36678) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1989).

NPPES Registry Identity

NPI1982633079
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameERIC S. GAENSLENCredential: M.D.
Location Address975 PORT WASHINGTON ROAD, SUITE 110Grafton, WI 53024-9201
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1989
Enumeration DateJuly 1, 2006
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1982633079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in WI · 36678
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 36678 (WI)
975 PORT WASHINGTON ROAD, Grafton, WI 53024

Other Identifiers 2

Medicaid32140000WI
OtherP00452791WI · Rr Medicare

Accepted 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

Eric S. Gaenslen M.d. 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 ID7214951177
PECOS Enrollment IDI20060118000450, I20080522000544
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 10

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
362 services96 patients
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.
144 services114 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
100 services100 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
89 services57 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.
62 services48 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
46 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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 11

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

Orthopaedic Surgery
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024
Physical Therapist
975 PORT WASHINGTON ROAD
GRAFTON, WI 53024
Surgery
975 PORT WASHINGTON ROAD, SUITE 320
GRAFTON, WI 53024
Pharmacy
975 PORT WASHINGTON ROAD, SUITE 100
GRAFTON, WI 53024
Registered Nurse
975 PORT WASHINGTON ROAD
GRAFTON, WI 53024
Orthopaedic Surgery
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024
Orthopaedic Surgery
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024
Orthopaedic Surgery
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024

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 Eric Gaenslen's NPI number?

The NPI number for Eric Gaenslen is 1982633079. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Eric Gaenslen located?

Eric Gaenslen practices at 975 Port Washington Road Suite 110, Grafton, WI 53024. The listed phone number is (262) 387-8300.

What is Eric Gaenslen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Eric Gaenslen enrolled in Medicare?

Yes. Eric Gaenslen 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 Eric Gaenslen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Eric Gaenslen 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 Eric Gaenslen affiliated with any hospitals?

According to CMS data, Eric Gaenslen is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Gaenslen was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.