Individual provider Active NPI

Andrew Robert Gage, M.D.

  • Family Medicine Physician
  • Mattoon, IL
National Provider Identifier
1013931567
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036102275 Issued in IL
Practice address
101 Coles Centre Dr
Mattoon, IL 61938-9314
Phone
(217) 234-5110
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036102275 IL Primary
Hospitalist Physician 208M00000X 036102275 IL

Addresses

Primary practice location

101 Coles Centre Dr
Mattoon, IL 61938-9314

Mailing address

1207 Network Centre Dr
Suite 3
Effingham, IL 62401-4632
Phone (217) 347-2707

Other practice location 1

512 N Maple St
Effingham, IL 62401-2005
Phone (217) 347-7030

Other identifiers 6

IdentifierTypeStateIssuer
336064010OtherILILLINOIS CONTROLLED SUBSTANCE LICENSE
561920008OtherILMEDICARE PTAN
036102275MedicaidIL
371391171003MedicaidIL
561920OtherILGROUP MEDICARE
036102275OtherILILLINOIS PHYSICIAN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agage105340@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001123 IL Practitioner - Family Practice 2466645239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

101 Coles Centre Dr
Mattoon, IL 61938-9314
Phone (217) 234-5110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036102275ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJL Health Systems Inc CurrentSince Jul 1, 2022 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-1690

900 W Temple Ave
Effingham, IL 62401
Phone (217) 347-5525

101 Coles Centre Dr
Ste 100
Mattoon, IL 61938
Phone (217) 234-5330

101 Coles Centre Dr
Mattoon, IL 61938
Phone (217) 234-5110

601 W Washington St
Ste 1
Newton, IL 62448
Phone (217) 347-2707

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: agage105340@ewd.direct.hshs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hilltop Skilled NSG & RehabCharleston, IL, CCN 145862 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2020
Feb 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013931567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 NETWORK CENTRE DR",
            "address_2": "SUITE 3",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014632",
            "telephone_number": "217-347-2707",
            "fax_number": "217-347-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLES CENTRE DR",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389314",
            "telephone_number": "217-234-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012005",
            "country_code": "US",
            "telephone_number": "217-347-7030",
            "fax_number": "217-347-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGE",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036102275",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036102275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS CONTROLLED SUBSTANCE LICENSE",
            "identifier": "336064010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "561920008",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102275",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371391171003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "561920",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PHYSICIAN LICENSE",
            "identifier": "036102275",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agage105340@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "101 Coles Centre Dr",
            "city": "Mattoon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "619389314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.