DR. GARY PATRICK FERNANDO MD
NPI 1013188408
Pediatrics in Rockford, IL

Active since March 13, 2008PECOS Enrolled
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gary Patrick Fernando Md NPPES

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

DR. GARY PATRICK FERNANDO MD (NPI 1013188408) is an individual pediatrics provider in Rockford, Illinois, licensed in Illinois (036128459) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1013188408
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GARY PATRICK FERNANDOCredential: MD
Location Address1200 W STATE STRockford, IL 61102
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600
Sole ProprietorNo
Enumeration DateMarch 13, 2008
Last NPPES UpdateJune 4, 2018
✔ NPI 1013188408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036128459✔ Licensed in NY · 257716
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 W STATE ST, Rockford, IL 61102

Secondary Practice Location 1

Location 1800 E 55th StChicago, IL 60615-4906 · Phone (773) 702-0660

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Patrick Fernando Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Gary Fernando reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
5635 S PULASKI RD
Chicago, IL 60629
  • Reassigned Medicare billing, Illinois enrollment
  • 132 clinicians in this Medicare group
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Physician Assistant
1200 W STATE ST
ROCKFORD, IL 61102

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 Gary Fernando's NPI number?

The NPI number for Gary Fernando is 1013188408. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Where is Gary Fernando located?

Gary Fernando practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Gary Fernando's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gary Fernando enrolled in Medicare?

Yes. Gary Fernando is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gary Fernando's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Fernando reassigns Medicare benefits to 2 organizations: Friend Family Health Center Inc (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Gary Fernando's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Fernando accept?

Health plans from Ambetter Health, MercyCare, MercyCare Health Plans and Oscar Health list Gary Fernando 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 Gary Fernando was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.