Active NPI
Andrew Robert Gage, M.D.
- Family Medicine Physician
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036102275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336064010 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| 561920008 | Other | IL | MEDICARE PTAN |
| 036102275 | Medicaid | IL | |
| 371391171003 | Medicaid | IL | |
| 561920 | Other | IL | GROUP MEDICARE |
| 036102275 | Other | IL | ILLINOIS PHYSICIAN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
101 Coles Centre Dr
Mattoon, IL 61938-9314
Phone (217) 234-5110
Hospital & facility affiliations
- HSHS Home Care Illinois
- St Anthonys Memorial Hospital
- Sarah Bush Lincoln Health Center
- St Johns Hospital
- St Marys Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036102275 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJL Health Systems Inc | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hilltop Skilled NSG & Rehab | 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.
-
- Skilled Nursing Facility
- Charleston, IL
- NPI 1770137937
Adp of the SNF, Operational/Managerial Control
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Skilled Nursing Facility
- Pana, IL
- NPI 1215037353
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
- Home Health Agency
- Effingham, IL
- NPI 1891758678
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.