Gary Myron, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50315-020 Issued in WI

Practice address

350 Peller Rd
Lake Geneva, WI 53147-4543

Phone

(262) 249-0221

Fax

(262) 249-0633

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

HospitalistAlso: Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health System CorporationGroup PAC ID 7416860440, shared by 14 NPIs, 749 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyhealth at Home Home health agency, Janesville, WI, CCN 527018
• Aurora at Home Home health agency, Milwaukee, WI, CCN 527001
• Badger Hospice Hospice, Brookfield, WI, CCN 521600
• Aurora at Home Hospice, Wauwatosa, WI, CCN 521528
• Mercy Health System Corp Hospital, Janesville, WI, CCN 520066
• Mercy Walworth Hospital & Medical Center Hospital, Lake Geneva, WI, CCN 521357
• Aurora Lakeland Medical Center Hospital, Elkhorn, WI, CCN 520102
• Golden Years of Lake Geneva Nursing home, Lake Geneva, WI, CCN 525727

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gmyron1642@direct.mhemail.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603
  Medicare reassignment NPD
• Mercy Health System Corporation

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  Medicare reassignment NPD
• Mercy Health System Corporation

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aurora Health Care Southern Lakes, Inc.

  • General Acute Care Hospital
  • Elkhorn, WI
  • NPI 1972628006
  Care Compare affiliation
• Badger Hospice, LLC

  • Community Based Hospice Care Agency
  • Brookfield, WI
  • NPI 1013453505
  Care Compare affiliation
• Golden Years Nursing Home, Inc.

  • Skilled Nursing Facility
  • Lake Geneva, WI
  • NPI 1831693936

  Nursing home

  Care Compare affiliation
• Mercy Assisted Care, Inc

  • Home Health Agency
  • Janesville, WI
  • NPI 1588719439
  Care Compare affiliation
• Mercy Health System Corporation

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  Care Compare affiliation
• Mercy Health System Corporation

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  Care Compare affiliation
• Visiting Nurse Association of Wisconsin, Inc.

  • Community Based Hospice Care Agency
  • Wauwatosa, WI
  • NPI 1023145331
  Care Compare affiliation
• Visiting Nurse Association of Wisconsin, Inc.

  • Home Health Agency
  • West Allis, WI
  • NPI 1134255037
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1386773174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PELLER RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474543",
            "telephone_number": "262-249-0221",
            "fax_number": "262-249-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PELLER RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474543",
            "telephone_number": "262-249-0221",
            "fax_number": "262-249-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRON",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "50315-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "MYRONGAR",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386773174",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "1664",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34947000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1386773174",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Mortensen
• Andrew C. Morton, MD
• Multicultural Health and Wellness, PLLC
• Timothy J Murray, MD
• George Matthew Mussman, MD
• Nading Periodontics
• Michelle R Nelson, PA
• Lora A Nerland, DO
• Emily Rose Nesic, DMD
• Marshall R Nettesheim, PT

• Family Medicine Physician in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.