GUSTAVO VONDERLANCKEN (MD) – Surgery Physician, NPI 1881683282

GUSTAVO VONDERLANCKEN (MD) is a healthcare provider. based in Granite city, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036109409 (IL). The NPI Number for GUSTAVO VONDERLANCKEN (MD) is 1881683282

Main info

Male
28 Years Of Experience
Name
GUSTAVO VONDERLANCKEN (MD)
NPI
1881683282
Phone
(618) 451-7600
Address
2044 MADISON AVE
Enumeration Date
18 October 2005
Last Update Date
19 December 2013

Doctor Profile

Medical School Name
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
6184517600
Graduation Year
1998 (28 years ago)
PAC ID
8123004603
Group Practice PAC ID
5496111676
Professional Enrollment ID
I20040625000460
Address ID
IL620404661GR2044XAVEX301
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

1,422 GENERAL SURGERY in IL

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Provider Addresses for GUSTAVO VONDERLANCKEN (MD)

  • 2044, Madison Avenue, Granite City, Madison County, Illinois, 62040, United States

    SUITE 27

    GRANITE CITY, IL 620404641

    Phone: (618) 451-7600

    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 6 Open Payments records for all available years, with a total value of $574.

Total Amount is formed as General ($574) + Research ($0) + Ownership ($0) = $574.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($456).

Total Amount

$574

General + Research + Ownership

Payments

6

Total payment records

General Amount

$574

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2004-06-25

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
I20040625000460IGeneral SurgeryILTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 62040)

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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: 5496111676View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Nurse PractitionerMO
Internal MedicineIL
Internal MedicineMI
Internal MedicineIL
Internal MedicineIL
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantIL

Reviews

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Frequently asked questions

Does GUSTAVO VONDERLANCKEN (MD) have a public NPI I can cite?
Public records show GUSTAVO VONDERLANCKEN (MD) under NPI 1881683282.
Is GUSTAVO VONDERLANCKEN (MD) currently accepting referrals based on NPI status?
Registry metadata lists GUSTAVO VONDERLANCKEN (MD) as active.
Which specialty label fits GUSTAVO VONDERLANCKEN (MD)?
NPPES ties GUSTAVO VONDERLANCKEN (MD) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit GUSTAVO VONDERLANCKEN (MD) in Granite City, Illinois?
For routing, start with Granite City, Illinois for GUSTAVO VONDERLANCKEN (MD), then verify phone and hours locally.
Can I export GUSTAVO VONDERLANCKEN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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