GARY M REAGAN (MD) – Urology Physician, NPI 1417909060

GARY M REAGAN (MD) is a healthcare provider. based in Mount vernon, Illinois. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 036-064567 (IL). The NPI Number for GARY M REAGAN (MD) is 1417909060

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
GARY M REAGAN (MD)
NPI
1417909060
Phone
(618) 244-6710
Address
209 CROSSROADS PL 150
Enumeration Date
16 May 2006
Last Update Date
16 July 2015

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6182441937
Graduation Year
1981 (45 years ago)
PAC ID
9133188121
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20041006000192
Address ID
IL628646545MO209XXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

543 UROLOGY in IL

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Provider Addresses for GARY M REAGAN (MD)

  • Crossroads Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 628646546

    Phone: (618) 244-6710

    Type: Mailing

  • 209, Crossroads Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    SUITE 110

    MOUNT VERNON, IL 628646254

    Phone: (618) 244-6710

    Fax: (618) 244-6779

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Medtronic, Inc. ($18).

Total Amount

$66

General + Research + Ownership

Payments

4

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

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: 2004-10-06

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
I20041006000192IUrologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes323231$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg16419$0
99203New patient office or other outpatient visit, 30-44 minutes100100$0
99212Established patient office or other outpatient visit, 10-19 minutes7769$0
99214Established patient office or other outpatient visit, 30-39 minutes5951$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Hospitalist, Internal MedicineIL
Pulmonary DiseaseNM
Internal Medicine, Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN
Physician AssistantIL

Reviews

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Frequently asked questions

Is GARY M REAGAN (MD) listed with a National Provider Identifier?
Yes — GARY M REAGAN (MD) has NPI 1417909060 on file in the registry.
Is GARY M REAGAN (MD) shown as active in public data?
Registry records indicate GARY M REAGAN (MD) maintains an active NPI.
What kind of doctor is GARY M REAGAN (MD)?
GARY M REAGAN (MD) is associated with Urology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is GARY M REAGAN (MD) registered?
Use Mount Vernon, Illinois as the headline location for GARY M REAGAN (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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