GUSTAVO MEDRANO PHD
NPI 1043624794
Psychologist in Evanston, IL

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
618 LIBRARY PL, EVANSTON, IL 60201(847) 733-4300 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gustavo Medrano Phd NPPES

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

GUSTAVO MEDRANO PHD (NPI 1043624794) is an individual psychologist in Evanston, Illinois and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043624794
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameGUSTAVO MEDRANOCredential: PHD
Location Address618 LIBRARY PLEvanston, IL 60201-2908
Mailing Address618 Library PlEvanston, IL 60201-2908 · (847) 733-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2014
NPI 1043624794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
618 LIBRARY PL, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gustavo Medrano Phd 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 ID9638466337
PECOS Enrollment IDI20160923000885
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 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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Social Worker
618 LIBRARY PL
EVANSTON, IL 60201
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Psychologist (Family)
618 LIBRARY PL, THE FAMILY INSTITUTE
EVANSTON, IL 60201
Counselor (Mental Health)
618 LIBRARY PL
EVANSTON, IL 60201
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201

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 Gustavo Medrano's NPI number?

The NPI number for Gustavo Medrano is 1043624794. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Gustavo Medrano located?

Gustavo Medrano practices at 618 Library Pl, Evanston, IL 60201. The listed phone number is (847) 733-4300.

What is Gustavo Medrano's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gustavo Medrano enrolled in Medicare?

Yes. Gustavo Medrano 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.

When was this NPI record last updated?

The NPPES record for Gustavo Medrano was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.