Doctor profile · Federal record
Dr. GAVIN AMBROSI, M.D.
Surgery Physician (CMS: GENERAL SURGERY) · Surgery Physician · MINOCQUA, WI
- NPI 1700299203
- Accepts Medicare
- MIPS 97.4 / 100 · 2023
- 12 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9601 TOWNLINE RD
MINOCQUA, WI 545489099
(715) 358-1000 - Mailing address
-
31420 FAIRFAX ST
LIVONIA, MI 481521543
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- June 19, 2019
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Wisconsin #70554-20 · Michigan #4301105071
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700299203. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
139
Distinct HCPCS
5
Medicare allowed
$22,313
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 60 | 60 | $236 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 37 | 37 | $74 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 19 | 19 | $167 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 12 | 12 | $171 | |
77001 |
Fluoroscopic guidance for insertion or removal of central vein access device | 11 | 11 | $17 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 25. This provider delivers 5.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
105
Patients
60
Total drug cost
$1,754
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Sucralfate | Generic | 31 | 23 | $1,039 |
| Omeprazole | Generic | 28 | 14 | $330 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 24 | 23 | $99 |
| Famotidine | Generic | 22 | 0 | $287 |