SCOTT W RATHGABER MD
NPI 1336141498
Internal Medicine - Gastroenterology in La Crosse, WI
NPI Status: Active since June 02, 2005
- Individual
- Male
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- PECOS Enrolled
About SCOTT RATHGABER
This page provides the complete NPI Profile along with additional information for Scott Rathgaber, an internist established in La Crosse, Wisconsin with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1336141498 assigned on June 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 39516 (WI). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1336141498
- Provider Name
- SCOTT W RATHGABER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Location Phone
- (608) 782-7300
- Mailing Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Mailing Phone
- (608) 782-7300
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-02-2005
- Last Update Date
- 12-27-2017
- Code Navigator
An internist like Scott Rathgaber is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 39516
- License State
- WI
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | MD-44618 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32428300 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Scott Rathgaber is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
This service was performed 12 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 1 | 4 | 1 | 4 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 4 | 2 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 4 + 2 + 4 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1336141498 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992708762 | MICHAEL H MADER MD Individual | Obstetrics & Gynecology | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1114920709 | RICHARD J MARCHIANDO DO Individual | Orthopaedic Surgery | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1831192111 | JACQUELINE A ADSIT APNP Individual | Nurse Practitioner | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1730182080 | RENUKA R AILIANI MD Individual | Obstetrics & Gynecology | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1689676900 | DAVID G MUSGJERD MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1780686097 | MARY E NELSON MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1356343636 | JUDSON F OMANS MD Individual | Emergency Medicine (Emergency Medical Services) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1700888922 | ARNOLD A ASP MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1235131517 | DAVID D NORENBERG MD Individual | Internal Medicine | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1477555605 | NELLEEN G NOACK MD Individual | Pediatrics (Neurodevelopmental Disabilities) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1922000199 | ROBERT R BABLITCH MSW Individual | Social Worker (Clinical) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1386646446 | LEAH A REIMANN MD Individual | Pediatrics | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1033111091 | CAMERON F ROBERTS MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1093717050 | RICHARD H REYNERTSON MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1922002914 | MARLENE A BANNEN PHD Individual | Psychologist (Cognitive & Behavioral) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1932103900 | P MICHAEL BANASIK DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1568466407 | SUE A BEIER-HANRATTY MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1962406710 | THOMAS R TERHORST MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1497759245 | JAMES W TERMAN MD Individual | Internal Medicine | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1124022926 | HUMBERT G SULLIVAN MD Individual | Neurological Surgery | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336141498, enumerated in the NPI registry as an "individual" on June 02, 2005
The provider is located at 1836 South Ave La Crosse, Wi 54601 and the phone number is (608) 782-7300
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Aspirus Health Plan, HealthPartners, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito.
This NPI record was last updated on June 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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