MR. GARY D CARR MD
NPI 1245264183
Family Medicine in Lawrenceville, IL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
60.99/100
CMS Quality Rating
11020 STATE ROUTE 250, LAWRENCEVILLE, IL 62439(618) 943-2609(618) 943-6409 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary D Carr Md NPPES

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

MR. GARY D CARR MD (NPI 1245264183) is an individual family medicine provider in Lawrenceville, Illinois, licensed in Illinois (036058645) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Southern Illinois University School Of Medicine (1977).

NPPES Registry Identity

NPI1245264183
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. GARY D CARRCredential: MD
Location Address11020 STATE ROUTE 250Lawrenceville, IL 62439-3379
Mailing AddressPo Box 516Lawrenceville, IL 62439 · (618) 943-2609 · Fax (618) 943-6409
Fax(618) 943-6409
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1977
Enumeration DateJuly 10, 2006
Last NPPES UpdateSeptember 9, 2019
NPI 1245264183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036058645
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036058645 (IL)
11020 STATE ROUTE 250, Lawrenceville, IL 62439

Other Identifiers 7

Medicaid036058645IL
Other1729885First Health
Medicaid376006178007IL
Other838915United Healthcare
Other003230IL · Health Alliance Ins
Other131890IL · Healthlink Ins
Other5132004IL · Bcbs

Accepted Insurance

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

Mr. Gary D Carr Md 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 ID4284547969
PECOS Enrollment IDI20031110000045
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.

Areas of Expertise CMS Part B claims 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
45 services42 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
26 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141344
Location2200 State StLawrenceville, IL 62439 · Lawrence County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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.

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.

60.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.42
Promoting Interoperability81
Improvement Activities40
Cost17.59

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers74 claims144 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers24 claims24 services$0.95 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$24.47 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier15 claims15 services$3.28 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
3 suppliers11 claims150 services$3.36 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
4 suppliers21 claims795 services$0.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Behavior Analyst
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Counselor (Mental Health)
11020 STATE ROUTE 250
LOWRENCEVILLE, IL 62439
Counselor (Professional)
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439

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 Carr's NPI number?

The NPI number for Gary Carr is 1245264183. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Gary Carr located?

Gary Carr practices at 11020 State Route 250, Lawrenceville, IL 62439. The listed phone number is (618) 943-2609.

What is Gary Carr's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Carr enrolled in Medicare?

Yes. Gary Carr 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.

What insurance does Gary Carr accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gary Carr 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.

Is Gary Carr affiliated with any hospitals?

According to CMS data, Gary Carr is affiliated with University Of Illinois Hospital And Clinics, Crawford Memorial Hospital, Lawrence County Memorial Hospital and Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Gary Carr was last updated on September 9, 2019. 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.