DR. ROBERT VINCENT JR. GOUTHRO (M.D.) – Psychiatry Physician, NPI 1285752089
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
677 PSYCHIATRY in WI
Provider Addresses for DR. ROBERT VINCENT JR. GOUTHRO (M.D.)
2680 VERNON DR
GREEN BAY, WI 543045374
Phone: (920) 496-4700
Type: Mailing
2680 Vernon Dr
Green Bay, WI 543045374
Phone: (920) 496-4700
Type: Location
5703 MEMORIAL CT
WESTON, WI 544766502
Phone: (715) 204-9808
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $747.
Total Amount is formed as General ($747) + Research ($0) + Ownership ($0) = $747.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Alkermes, Inc. ($248).
Total Amount
$747
General + Research + Ownership
Payments
13
Total payment records
General Amount
$747
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $248 |
| Otsuka America Pharmaceutical, Inc. | $125 |
| ABBVIE INC. | $111 |
| Indivior Inc. | $95 |
| Axsome Therapeutics, Inc. | $89 |
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: 2009-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20091113000391 | I | Psychiatry | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 118 | 21 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 35 | 16 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 21 | 20 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11 | 11 | $0 |
Insurance plans in this area (ZIP 54304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist, Marriage And Family Therapist | WI | |
| Clinical Social Worker | WI |
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