CMS-1500 Box 24J / 33a • NPI
1881727113
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
501 GOPHER DR, TOMAH, WI, 54660-4513
✓ 9-Digit EDI 837 ZIP+4 (54660-4513)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1881727113 (GERALD DENNIS FUSHIANES, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1881727113)
Medicare Beneficiaries
121
Total Billed Services
213
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$17,861.32
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 33 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 98 |
99239 | Hospital discharge day management, more than 30 minutes | 46 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1881727113 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GERALD DENNIS FUSHIANES, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 501 GOPHER DR, TOMAH, WI, 54660-4513 |
| Practice Telephone / Fax | Tel: (608) 371-2181 |
| Administrative Mailing Address | 501 GOPHER DR, TOMAH, WI, 54660-4513 |
| Enumeration & Last Sync | Enumerated: 2007-03-14 | CMS Record Updated: 2025-06-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GERALD DENNIS FUSHIANES, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: IA | License: 002256 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: HI | License: AMD-312 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: NE | License: 1351 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: CA | License: PA19722 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: WI | License: 1811-023 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: MI | License: 5601002730 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: MN | License: 10386 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: WI | License: 1811-023 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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