ALLYSON K. GOUGH APRN, BC
NPI 1336196609
Nurse Practitioner - Adult Health in Mattoon, IL

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1000 HEALTH CENTER DR STE 107, MATTOON, IL 61938(217) 238-4960(217) 238-4951 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 27, 2018, Sep 21, 2018 (2 updates tracked since 2018).

About Allyson K. Gough Aprn, Bc NPPES

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

ALLYSON K. GOUGH APRN, BC (NPI 1336196609) is an individual adult health provider in Mattoon, Illinois, licensed in Illinois (209004629) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1336196609
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameALLYSON K. GOUGHCredential: APRN, BC
Location Address1000 HEALTH CENTER DR STE 107Mattoon, IL 61938-9253
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4693 · (217) 238-6055
Fax(217) 238-4951
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 30, 2006
Last NPPES UpdateNovember 27, 20182 updates tracked since enumeration
NPI 1336196609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209004629
Also ListedRegistered NurseTaxonomy 163W00000X · License 041333130 (IL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209004629 (IL)
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 209004629 (IL)
Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License 209004629 (IL)
1000 HEALTH CENTER DR STE 107, Mattoon, IL 61938

Other Identifiers 1

Other517490IL · Healthlink

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

Allyson K. Gough Aprn, Bc 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 ID5092848911
PECOS Enrollment IDI20100729000306
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
534 services452 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

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
$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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$106.47 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 7

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

Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Psychiatry & Neurology (Neurology)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Psychiatry & Neurology (Neurology)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336196609, enumerated as an "individual" on May 30, 2006.

The provider is located at 1000 HEALTH CENTER DR STE 107 MATTOON, IL 61938 and the phone number is (217) 238-4960.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Allyson Gough is affiliated with: SARAH BUSH LINCOLN HEALTH CENTER.