VINCENT P CAGUNGUN RN
NPI 1003426974
Nurse Anesthetist, Certified Registered in Mattoon, IL

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 258-4006 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vincent P Cagungun Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINCENT P CAGUNGUN RN (NPI 1003426974) is an individual nurse anesthetist, certified registered in Mattoon, Illinois, licensed in Illinois (041.498060) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003426974
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameVINCENT P CAGUNGUNCredential: RN
Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644
Mailing Address912 Oakcrest Dr Apt FCharleston, IL 61920-1780 · (858) 722-3728
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1003426974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 041.498060
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 HEALTH CENTER DR, Mattoon, IL 61938

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vincent P Cagungun Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749691178
PECOS Enrollment IDI20230926003851
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Vincent Cagungun reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Audiologist
588 E LAKEWOOD BLVD
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
Anesthesiology
8000 E MAPLEWOOD AVE STE 120
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Colorado enrollment
  • 971 clinicians in this Medicare group
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
Anesthesiology
55 FOGG RD
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 671 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938
Speech-Language Pathologist
1000 HEALTH CENTER DR
MATTOON, IL 61938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Cagungun's NPI number?

The NPI number for Vincent Cagungun is 1003426974. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Vincent Cagungun located?

Vincent Cagungun practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 258-4006.

What is Vincent Cagungun's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Vincent Cagungun enrolled in Medicare?

Yes. Vincent Cagungun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vincent Cagungun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Cagungun reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Holland, MI), Us Anesthesia Partners Of Colorado Inc. (Greenwood Village, CO), Poudre Valley Medical Group, LLC (Loveland, CO) and Coastal Medical Associates (Weymouth, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vincent Cagungun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Cagungun accept?

Health plans from Blue Cross and Blue Shield of Texas and Select Health list Vincent Cagungun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vincent Cagungun was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.