DR. MARK PHILLIP GAUDIO M.D.
NPI 1053514414
Emergency Medicine in Peoria, IL

Q: What is Mark Gaudio's NPI number?

The NPI number for Mark Gaudio is 1053514414. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Q: What is Mark Gaudio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Gaudio was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 05, 2007PECOS Enrolled

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-6710 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2021, Oct 25, 2018 (2 updates tracked since 2018).

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About Dr. Mark Phillip Gaudio M.d. NPPES

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

DR. MARK PHILLIP GAUDIO M.D. (NPI 1053514414) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (036-121441) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053514414

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MARK PHILLIP GAUDIOCredential: M.D.

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address104 Wildflower AveMetamora, IL 61548-8656 · (309) 383-2044

Phone(309) 655-6710

Sole ProprietorNo

Enumeration DateJune 5, 2007

Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration

NPPES CertifiedDecember 10, 2021

✔ NPI 1053514414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036-121441✔ Licensed in IL · 125-051037

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

530 NE GLEN OAK AVE, Peoria, IL 61637

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Other Identifiers 2

Other809840IL · Group Medicare Number

Other809840036IL · Individual Medicare Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Phillip Gaudio M.d. 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

Medicare enrollment records show Mark Gaudio reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Francis Medical Center

Same address

Neurology

530 NE GLEN OAK AVE
Peoria, IL 61637

Reassigned Medicare billing, Illinois enrollment
157 clinicians in this Medicare group

NPI 1154370195 (309) 655-2000

Osf Multi-Specialty Group

7.4 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

St Joseph Medical Center

34 mi

Radiation Oncology

407 E VERNON AVE
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
43 clinicians in this Medicare group

NPI 1174758346 (309) 451-2231

St. Mary Medical Center

43 mi

Family Medicine

100 N MONROE ST
Abingdon, IL 61410

Reassigned Medicare billing, Illinois enrollment
101 clinicians in this Medicare group

NPI 1861109647 (309) 462-2343

Saint James Hospital

51 mi

Family Medicine

1231 KLEEMANN DR
Clinton, IL 61727

Reassigned Medicare billing, Illinois enrollment
130 clinicians in this Medicare group

NPI 1356058119 (217) 935-5022

Ottawa Regional Hospital & Healthcare Center

60 mi

General Acute Care Hospital

1100 E NORRIS DR
Ottawa, IL 61350

Reassigned Medicare billing, Illinois enrollment
130 clinicians in this Medicare group

NPI 1306971080 (815) 433-3100

Sarah Bush Lincoln Health Center

109 mi

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

127 services126 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

91 services90 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

33 services32 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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.

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics