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Dr. James J Gatto

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NPI Number Detailed Information

Provider Information:

Name: Dr. James J Gatto
Gender: M
Provider License Number If Given: 39797

NPI Information:

NPI: 1932214020
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 8/20/2006
Last Update Date: 3/7/2023
Reputation Report:

Provider Business Mailing Address:

Address: 3301 W FOREST HOME AVE
Milwaukee, WI 53215
Phone Number: 4146476326
Fax Number: 4146718860

Provider Business Practice Location Address:

Address: 915 SUMMIT AVE
Oconomowoc, WI 53066
Phone Number: 2625692300
Fax Number: 2625692248

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: WI

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About Dr. James J Gatto

Dr. James J Gatto (DR. JAMES J GATTO ) is Family Family Medicine Physician in Oconomowoc, WI. The NPI Number for Dr. James J Gatto is 1932214020.
The current location address for Dr. James J Gatto is 915 SUMMIT AVE Oconomowoc, WI 53066 and the contact number is 4146476326 and fax number is 4146718860. The mailing address for Dr. James J Gatto is 3301 W FOREST HOME AVE Milwaukee, WI 53215- 2625692300 (mailing address contact number - 4146476326).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. James J Gatto ?


Answer: The NPI Number for Dr. James J Gatto is 1932214020

Where is Dr. James J Gatto located?


Answer: Dr. James J Gatto is located at 915 SUMMIT AVE Oconomowoc, WI 53066.

What is the specialty for Dr. James J Gatto ?


Answer: The Specialty of Dr. James J Gatto is Family Family Medicine Physician.

Are there any online reviews for Dr. James J Gatto ?


Answer: Yes! Check It Now.

Are there any other health care providers in Oconomowoc, WI?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. James J Gatto

Number of HCPCS 36
Number of Medicare Beneficiaries 295
Number of Services 1080
Total Submitted Charge Amount 249415
Total Medicare Allowed Amount 80616.9
Total Medicare Payment Amount 65510.95
Total Medicare Standardized Payment Amount 68169.2
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 9
Number of Medicare Beneficiaries With Drug Services 77
Number of Drug Services 273
Total Drug Submitted Charge Amount 21297
Total Drug Medicare Allowed Amount 11186
Total Drug Medicare Payment Amount 10131.38
Total Drug Medicare Standardized Payment Amount 10119.72
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 27
Number of Medicare Beneficiaries With Medical 294
Number of Medical Services 807
Total Medical Submitted Charge Amount 228118
Total Medical Medicare Allowed Amount 69430.9
Total Medical Medicare Payment Amount 55379.57
Total Medical Medicare Standardized Payment Amount 58049.48
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65 51
Number of Beneficiaries Age 65 to 74 138
Number of Beneficiaries Age 75 to 84 82
Number of Beneficiaries Age Greater 84 24
Number of Female Beneficiaries 120
Number of Male Beneficiaries 175
Number of Non-Hispanic White Beneficiaries 271
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 49
Number of Beneficiaries With Medicare Only Entitlement 246
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.1
Percent (%) of Beneficiaries Identified With Depression 0.17
Percent (%) of Beneficiaries Identified With Diabetes 0.24
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.36
Percent (%) of Beneficiaries Identified With Hypertension 0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0313

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 8106
Number of Standardized 30-Day Fills 16176.633333
Aggregate Cost Paid for All Claims 410823.01
Number of Day's Supply for All Claims 465236
Number of Medicare Beneficiaries 514
Number of Claims, Including Refills, for Beneficiaries Age 65+ 6189
Including Refills, for Beneficiaries Age 65+ 13297.533333
Beneficiaries Age 65+ 288644.04
Number of Day's Supply for All Claims for Beneficaries Age 65+ 385500
Number of Medicare Beneficiaries Age 65+ 429
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 812
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 7237
Aggregate Cost Paid for Generic Drugs 147368.87
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 57
Aggregate Cost Paid for Other Drugs 3062.54
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4457
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 215426.65
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3649
Aggregate Cost Paid for Claims Filled by 195396.36
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2133
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 128106.73
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5973
by Low-Income Subsidy 282716.28
Total Claims of Opioid Drugs, Including 287
Aggregate Cost Paid for Opioid Drugs 10591.68
Opioid Claims 54
Opioid_Tot_Clms divided by the Tot_Clms 3.5405872193
Total Claims of Long-Acting Opioid Drugs 12
Aggregate Cost Paid for Long-Acting Opioid 8088.01
Number of Day's Supply of All Long-Acting 360
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 4.181184669
Total Claims of Antibiotic Drugs, Including 129
Aggregate Cost Paid for Antibiotic Drugs 1051.27
Antibiotic Claims 76
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.410505837
Number of Beneficiaries Age Less Than 65 85
Number of Beneficiaries Age 65 to 74 262
Number of Beneficiaries Age 75 to 84 131
Number of Female Beneficiaries 224
Number of Male Beneficiaries 290
Number of Non-Hispanic White 480
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 13
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 16
Only Entitlement 428
Average Hierarchical Condition Category 1.0679842972

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