Melissa J Gauthier , PA-C
Physician Assistant • Eldorado, IL
1306 Maple St
Eldorado, IL 629301662
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Melissa Gauthier is listed in NPPES under Physician Assistant.
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NPI assigned on April 19, 2006; this date does not establish years in practice.
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Published CMS data list 14 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 81002 — Urinalysis, manual test: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 175 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Furosemide — 24 prescription fills, including refills.
- Prednisone — 23 prescription fills, including refills.
- Potassium Chloride — 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 33 in 2018 to 14 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2022.
Practice Location & Contact Primary Location
1306 Maple St
Eldorado, IL 629301662
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Ferrell Hospital Community Foundation. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1997
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $48 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
Paid by Medicare
About $48 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
30-day fills
234 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$8,735 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Melissa Gauthier has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Melissa Gauthier as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Eldorado and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.
Too few clinicians listed under Physician Assistant in Eldorado have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.
Too few clinicians listed under Physician Assistant in Eldorado have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Melissa Gauthier are from 2022.
5 active clinicians are listed under Physician Assistant with a practice address in Eldorado, IL (4,929 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 58% from 33 in 2018 to 14 in 2022.
- 2018: 33
- 2019: 35
- 2020: 21
- 2021: 17
- 2022: 14
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Medicare-allowed amount
Medicare-allowed amount went from $113 in 2018 to $48 in 2022.
- 2018: $113
- 2019: $119
- 2020: $72
- 2021: $59
- 2022: $48
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Paid by Medicare
Paid by Medicare went from $113 in 2018 to $48 in 2022.
- 2018: $113
- 2019: $119
- 2020: $72
- 2021: $59
- 2022: $48
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 96% from 3,928 in 2020 to 175 in 2024.
- 2020: 3,928
- 2021: 3,869
- 2022: 3,391
- 2023: 2,490
- 2024: 175
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30-day fills
30-day fills decreased 96% from 6,119 in 2020 to 234 in 2024.
- 2020: 6,119
- 2021: 6,122
- 2022: 5,790
- 2023: 4,300
- 2024: 234
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Part D drug cost
Part D drug cost decreased 94% from $153,479 in 2020 to $8,735 in 2024.
- 2020: $153,479
- 2021: $244,339
- 2022: $285,139
- 2023: $234,295
- 2024: $8,735
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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81002
Urinalysis, manual test
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14 | 11 | $15.14 | $3.44 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Furosemide | Furosemide | 24 | 857 | $63.92 | 12 |
| Prednisone | Prednisone | 23 | 180 | $44.30 | 23 |
| Potassium Chloride | Potassium Chloride | 21 | 723 | $289.73 | 11 |
| Eliquis | Apixaban | 17 | 382 | $7,552.49 | — |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 125 | $96.79 | 15 |
| Metoprolol Succinate | Metoprolol Succinate | 14 | 1,200 | $175.53 | — |
| Omeprazole | Omeprazole | 14 | 426 | $160.60 | — |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 111 | $103.79 | 13 |
| Azithromycin | Azithromycin | 12 | 51 | $35.58 | 11 |
| Amlodipine Besylate | Amlodipine Besylate | 11 | 529 | $68.24 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 11 | 750 | $143.95 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-04-22NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20060518000014
IL
2466463971
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ferrell Hospital Community Foundation
250 Small St, Harrisburg, IL 629463319
Phone: 6182948264
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Family Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner
Physician Assistant - Medical
Physician Assistant
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: IL 085.000899)
NPI status registered as active in NPPES database
Registered at 1306 MAPLE ST, ELDORADO, IL 629301662 (Tel: 6182733361)
Registered at 1306 MAPLE ST, ELDORADO, IL 629301662 (Tel: 6182733361)
Recorded as MELISSA GAUTHIER, PA C
Family Medicine (license number reported to NPPES: IL 085000899)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Eldorado
Mailing Address
1306 Maple St
Eldorado, IL 629301662
Phone: 6182733361