DR. ROBERT CRUZ VERGARA (MD) – Emergency Medicine Physician, NPI 1174578710

DR. ROBERT CRUZ VERGARA (MD) is a healthcare provider. based in Maryville, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME95775 (FL). The NPI Number for DR. ROBERT CRUZ VERGARA (MD) is 1174578710

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT CRUZ VERGARA (MD)
NPI
1174578710
Phone
(618) 288-5711
Address
6800 State Route 162
Enumeration Date
23 May 2006
Last Update Date
19 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178543141
Graduation Year
2001 (25 years ago)
PAC ID
6305858093
Group Practice PAC ID
4688003957
Professional Enrollment ID
I20060621000083
Address ID
IL626263710CA20733STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness75
Years active:20State licenses:4Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

Provider Addresses for DR. ROBERT CRUZ VERGARA (MD)

  • 6800 State Route 162

    Maryville, IL 620628521

    Phone: (618) 288-5711

    Fax: (618) 288-4088

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • 27, Davenport Place, Hempstead, Nassau County, New York, 11710, United States

    DAVENPORT, FL 338375900

    Phone: (863) 422-4971

    Fax: (863) 419-2264

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060621000083IFamily PracticeILTBD
I20090713000132IEmergency MedicineFLTBD
I20141201001906IFamily PracticeGATBD
I20220329000555IEmergency MedicineSCTBD
I20241121004110IFamily PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making245235$0
99285Emergency department visit with high level of medical decision making191187$0
99291Critical care, first 30-74 minutes7372$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6666$0
99283Emergency department visit with low level of medical decision making5150$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688003957View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineLA
-IL
Internal Medicine, Preventive Medicine, Emergency MedicineIL
Internal Medicine, Emergency MedicineIL
Emergency Medicine, Internal MedicineIL
-TX
-MD
Family PracticeIL
Emergency Medicine, Pediatric MedicineMO

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERT CRUZ VERGARA (MD)?
The federal identifier for DR. ROBERT CRUZ VERGARA (MD) is NPI 1174578710.
Is DR. ROBERT CRUZ VERGARA (MD)'s NPI currently valid?
The extract we use shows DR. ROBERT CRUZ VERGARA (MD) as active.
Can you summarize DR. ROBERT CRUZ VERGARA (MD)'s specialty in plain language?
Clinically, the directory lists DR. ROBERT CRUZ VERGARA (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERT CRUZ VERGARA (MD)?
We surface Maryville, Illinois for DR. ROBERT CRUZ VERGARA (MD) based on available NPPES addresses.
How can I contact DR. ROBERT CRUZ VERGARA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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