DR. ANTHONY C VACCA (D.O.) – Pulmonary Disease Physician, NPI 1497797401

DR. ANTHONY C VACCA (D.O.) is a healthcare provider. based in Mount vernon, Illinois. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials D.O.. They hold a License No. 036105971 (IL). The NPI Number for DR. ANTHONY C VACCA (D.O.) is 1497797401

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY C VACCA (D.O.)
NPI
1497797401
Phone
(618) 899-4600
Address
1 GOOD SAMARITAN WAY
Enumeration Date
12 June 2006
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473603000
Graduation Year
1988 (38 years ago)
PAC ID
3173628864
Group Practice PAC ID
4284631086
Professional Enrollment ID
I20070425000560
Address ID
IL600852161WA1324XRDXX400

Contacts

Secure Messaging
avacca428889@ReidHealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. ANTHONY C VACCA (D.O.)

  • 1 GOOD SAMARITAN WAY

    MOUNT VERNON, IL 628642402

    Phone: (618) 899-4600

    Fax: (618) 899-4768

    Type: Mailing

  • 1100 REID PARKWAY

    MEDICAL STAFF SERVICES

    RICHMOND, IN 47374

    Phone: (765) 935-8802

    Fax: (765) 983-3219

    Type: Mailing

  • 1101 JACKSON ST STE A

    GREENVILLE, OH 453311396

    Phone: (375) 472-2129

    Fax: (937) 547-3066

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($69).

Total Amount

$202

General + Research + Ownership

Payments

9

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

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: 2021-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20070425000560IInternal MedicineILTBD
I20201203001453IPulmonary DiseaseINTBD
I20211206001425IPulmonary DiseaseOHTBD

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
94729Test to examine how well the lungs exchange gases319316$0
94726Test to determine lung volumes using sensors315312$0
99214Established patient office or other outpatient visit, 30-39 minutes264203$0
94060Test to measure expiratory airflow and volume changes before and after medication administration259258$0
99215Established patient office or other outpatient visit, 40-54 minutes235153$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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Provider's Procedures

DR. ANTHONY C VACCA (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope4640

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: 4284631086View full group profile
NameSpecialtyState
-IL
Pulmonary DiseaseIL
Internal Medicine, Family PracticeIL
Gastroenterology, Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
Physician AssistantIL
Cardiac Surgery, Thoracic Surgery, Thoracic SurgeryND
Family PracticeWI
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANTHONY C VACCA (D.O.)?
DR. ANTHONY C VACCA (D.O.) — NPI 1497797401 — is the standard way to identify this listing.
Does the file indicate DR. ANTHONY C VACCA (D.O.) is practicing under active NPI?
Directory data currently reports DR. ANTHONY C VACCA (D.O.) as active.
What is DR. ANTHONY C VACCA (D.O.) best known for clinically?
Directory data describes DR. ANTHONY C VACCA (D.O.) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. ANTHONY C VACCA (D.O.) list a practice location?
Patients near Mount Vernon, Illinois may find DR. ANTHONY C VACCA (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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