THOMAS L VONGILLERN (M.D.) – Orthopaedic Surgery Physician, NPI 1710965223
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
172 HAND SURGERY in IL
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Provider Addresses for THOMAS L VONGILLERN (M.D.)
Valley View Drive, Moline, Rock Island County, Illinois, 61624, United States
MOLINE, IL 612656194
Phone: (309) 762-3621
Fax: (309) 762-3690
Mailing address matches the actual address.
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 $208.
Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Stryker Corporation ($167).
Total Amount
$208
General + Research + Ownership
Payments
4
Total payment records
General Amount
$208
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $167 |
| Ethicon US, LLC | $23 |
| Medline Industries LP | $18 |
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: 2004-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040503001497 | I | Hand Surgery | IA | TBD |
| I20041028000458 | I | Hand Surgery | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 420 | 23 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 364 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 118 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 113 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 88 | $0 |
Insurance plans in this area (ZIP 61265)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | IA | |
| - | SC | |
| Physical Therapist In Private Practice | IA | |
| - | IA | |
| Orthopedic Surgery | IL | |
| Physical Therapist In Private Practice | IA | |
| Orthopedic Surgery | IA | |
| Physician Assistant | IA | |
| Orthopedic Surgery | IL |
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