DR. MARY J GENTINE (M.D.) – Family Medicine Physician, NPI 1811945942
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
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Provider Addresses for DR. MARY J GENTINE (M.D.)
Columbia College of Nursing, 4425, North Port Washington Road, Grover Heights, Glendale, Milwaukee County, Wisconsin, 53212, United States
ATTN: CLINIC CREDENTIALING
GLENDALE, WI 532121082
Phone: (920) 457-4438
Fax: (920) 457-6748
Type: Mailing
1703, North Taylor Drive, Sheboygan, Town of Sheboygan, Sheboygan County, Wisconsin, 53081, United States
SHEBOYGAN, WI 530811933
Phone: (920) 457-4438
Fax: (920) 457-6748
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-08-23
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 |
|---|---|---|---|---|
| I20070823000961 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 1,379 | 743 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 327 | 212 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 195 | 195 | $0 |
| G0008 | Administration of influenza virus vaccine | 72 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 59 | $0 |
Insurance plans in this area (ZIP 53212)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WI | 85610 | Blood test, clotting time | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Emergency Medicine | FL | |
| Nurse Practitioner | WI | |
| Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Interventional Cardiology | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Qualified Audiologist | WI |
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