DR. TERESA A GONZAGA (MD) – Plastic and Reconstructive Surgery Physician, NPI 1073776928
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 PLASTIC AND RECONSTRUCTIVE SURGERY in WI
Provider Addresses for DR. TERESA A GONZAGA (MD)
2116 Craig Rd
Eau Claire, WI 54701
Phone: (715) 858-4500
Type: Location
2116, Craig Road, Eau Claire, Eau Claire County, Wisconsin, 54701, United States
EAU CLAIRE, WI 54701
Phone: (715) 858-4500
Type: Location
Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Type: Mailing
245 S EXECUTIVE DR STE 201
BROOKFIELD, WI 530054204
Phone: (414) 367-9646
Type: Location
413 N 2ND ST UNIT 690
MILWAUKEE, WI 532033122
Phone: (612) 669-3120
Type: Mailing
640 Jackson St
Saint Paul, MN 551012502
Phone: (651) 254-5151
Fax: (651) 254-3123
Type: Location
245 S Executive Dr Ste 201
Brookfield, WI 530054204
Phone: (414) 367-9646
Type: Location
2605 DEVELOPMENT DR
GREEN BAY, WI 543114240
Phone: (920) 288-8240
Fax: (920) 857-1488
Type: Location
1035 KEPLER DR
GREEN BAY, WI 543118320
Phone: (920) 490-9046
Fax: (920) 405-8005
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $345.
Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Integra LifeSciences Corporation ($173).
Total Amount
$345
General + Research + Ownership
Payments
10
Total payment records
General Amount
$345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110915000859 | I | Neurosurgery | MN | TBD |
| I20180828003391 | I | Plastic And Reconstructive Surgery | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | WI | |
| O P T O M E T R Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Emergency Medicine | WI | |
| Physician Assistant | WI | |
| O P H T H A L M O L O G Y | WI | |
| Diagnostic Radiology | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI |
Reviews
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