DR. GEORGE GENTRY (MD) – Diagnostic Radiology Physician, NPI 1225016975

DR. GEORGE GENTRY (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 036-080941 (IL). The NPI Number for DR. GEORGE GENTRY (MD) is 1225016975

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE GENTRY (MD)
NPI
1225016975
Phone
(309) 655-2000
Address
530 NE Glen Oak Ave
Enumeration Date
4 January 2006
Last Update Date
2 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
8155843343
Graduation Year
1984 (42 years ago)
PAC ID
4880593763
Group Practice PAC ID
9436061827
Professional Enrollment ID
I20050218000052
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. GEORGE GENTRY (MD)

  • 530 NE Glen Oak Ave

    Peoria, IL 616370001

    Phone: (309) 655-2000

    Type: Location

  • Peoria Post Office, 10700, North 85th Avenue, Peoria, Maricopa County, Arizona, 85345, United States

    PEORIA, IL 616123853

    Phone:

    Type: Mailing

  • UnityPoint Health - Proctor, 5409, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 61615

    Phone: (309) 682-7750

    Fax: (309) 682-7786

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050218000052IDiagnostic RadiologyILTBD

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
71046X-ray of chest, 2 views256252$0
76705Limited ultrasound scan of abdomen113112$0
76770Complete ultrasound scan behind abdominal cavity111110$0
71045X-ray of chest, 1 view10299$0
76536Ultrasound scan of head and neck soft tissue8079$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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Provider's Procedures

DR. GEORGE GENTRY (MD) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71250CT scan chest1717
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views7573
DIAGNOSTIC RADIOLOGYIL73140X-ray of fingers, minimum of 2 views1616
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views1713
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views131119
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast5252

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: 9436061827View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyIL
Physician AssistantIL
-IL
Diagnostic RadiologyFL
-IL
Diagnostic RadiologyIL
-IL
-WI
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

What number should I use to identify DR. GEORGE GENTRY (MD) for billing?
Administrative and clinical systems typically use NPI 1225016975 for DR. GEORGE GENTRY (MD).
Is DR. GEORGE GENTRY (MD)'s NPI status active today?
Active status means DR. GEORGE GENTRY (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. GEORGE GENTRY (MD) provide?
DR. GEORGE GENTRY (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. GEORGE GENTRY (MD)?
The directory associates DR. GEORGE GENTRY (MD) with Peoria, Illinois. Check all listed addresses for suites or satellite offices.
Can I export DR. GEORGE GENTRY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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