Dr. Paul Hermann Gasch , DC
Chiropractor • Onalaska, WI
1115 Riders Club Rd
Onalaska, WI 546502079
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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NPI assigned on May 16, 2007; this date does not establish years in practice.
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Published CMS data list 184 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:
- 98940 — Chiropractic manipulative treatment, 1-2 spinal regions: 184 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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Medicare Part B services went from 326 in 2018 to 184 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2022.
Practice Location & Contact Primary Location
1115 Riders Club Rd
Onalaska, WI 546502079
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Palmer College Chiropractic - West Sunnyvale
2006
What Public CMS Data Show
Chiropractor: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $4,699 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 $3,290 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.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 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
2007
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.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
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)
Dr. Gasch 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.
Compared with the same specialty in Onalaska and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Gasch are from 2022.
30 active clinicians are listed under Chiropractor with a practice address in Onalaska, WI (2,550 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Onalaska
0% of these 30 clinicians have the CMS telehealth indicator.
36.7% of these 30 clinicians are listed by CMS as accepting Medicare assignment.
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 44% from 326 in 2018 to 184 in 2022.
- 2018: 326
- 2019: 307
- 2020: 172
- 2021: 193
- 2022: 184
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Medicare-allowed amount
Medicare-allowed amount decreased 44% from $8,365 in 2018 to $4,699 in 2022.
- 2018: $8,365
- 2019: $8,019
- 2020: $4,560
- 2021: $5,010
- 2022: $4,699
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Paid by Medicare
Paid by Medicare decreased 45% from $5,959 in 2018 to $3,290 in 2022.
- 2018: $5,959
- 2019: $5,373
- 2020: $3,058
- 2021: $3,709
- 2022: $3,290
Sources: CMS Medicare Physician & Other Practitioners (2022), 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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98940
Chiropractic manipulative treatment, 1-2 spinal regions
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184 | 13 | $55.00 | $25.54 |
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.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-10-18NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
NUCC Taxonomy Code: 111NN1001X
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - CHIROPRACTIC
I20140415002205
WI
9739244807
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 925 13TH AVE S, STE 100, ONALASKA, WI 546503417 (Tel: 6085198112)
NPI status registered as active in NPPES database
Registered at 1115 RIDERS CLUB RD, ONALASKA, WI 546502079 (Tel: 6085198112)
Registered at 1115 RIDERS CLUB RD, ONALASKA, WI 546502079 (Tel: 6085198112)
Recorded as PAUL GASCH, D.C.
Chiropractor (license number reported to NPPES: WI 4965-12)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Chiropractors in Onalaska
- Dr. Scott Cichosz, DC
- Dr. Mark Cassellius, DC
- Dr. Benjamin Erlandson, DC
- Dr. James Bodoh, DC
- Dr. Carolyn Knapp, DC
- Dr. Marty Lorentz, DC
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Mailing Address
925 13th Ave S, Ste 100
Onalaska, WI 546503417
Phone: 6085198112