DR. GERARDO ISMAEL GACER GUECO M.D.
NPI 1417289463
Hospitalist in Rolla, MO

Active since February 02, 2010PECOS EnrolledAccepts Medicare Assignment
77.52/100
CMS Quality Rating
1000 W 10TH ST, ROLLA, MO 65401(573) 364-9000(573) 426-2108 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2025, Mar 23, 2021, Aug 21, 2019 (3 updates tracked since 2019).

About Dr. Gerardo Ismael Gacer Gueco M.d. NPPES

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

DR. GERARDO ISMAEL GACER GUECO M.D. (NPI 1417289463) is an individual hospitalist provider in Rolla, Missouri, licensed in Missouri (2013008902) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains a secondary practice location in Rolla.

NPPES Registry Identity

NPI1417289463
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. GERARDO ISMAEL GACER GUECOCredential: M.D.
Location Address1000 W 10TH STRolla, MO 65401-2905
Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000
Fax(573) 426-2108
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 2, 2010
Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1417289463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MO · 2013008902
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License P25154 (MD)
1000 W 10TH ST, Rolla, MO 65401

Secondary Practice Location 1

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Other Identifiers 3

Medicaid507013605MO
Other000015401MO · Medciare
Medicaid1417289463MO

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

Dr. Gerardo Ismael Gacer Gueco M.d. 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 ID4587801311
PECOS Enrollment IDI20130514000653
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
538 services189 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.
170 services159 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
101 services98 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.
45 services15 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.
36 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Salem Memorial District Hospital

Critical Access Hospitals · Salem, MO
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261318
LocationPO Box 774,Salem, MO 65560 · Dent County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.88
Promoting Interoperability100
Improvement Activities40
Cost60.19

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
4 suppliers18 claims18 services$19.48 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
4 suppliers28 claims28 services$106.03 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 20

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

Orthopaedic Surgery
1000 W 10TH ST, STE A
ROLLA, MO 65401
Nurse Practitioner (Adult Health)
1000 W 10TH ST
ROLLA, MO 65401
Pathology (Anatomic Pathology & Clinical Pathology)
1000 W 10TH ST
ROLLA, MO 65401
Registered Nurse (Diabetes Educator)
1000 W 10TH ST
ROLLA, MO 65401
Nurse Anesthetist, Certified Registered
1000 W 10TH ST
ROLLA, MO 65401
Emergency Medicine
1000 W 10TH ST
ROLLA, MO 65401
Dietitian, Registered
1000 W 10TH ST
ROLLA, MO 65401
Nurse Practitioner (Family)
1000 W 10TH ST
ROLLA, MO 65401

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 Gerardo Ismael Gueco's NPI number?

The NPI number for Gerardo Ismael Gueco is 1417289463. It was assigned to this individual provider in the NPPES registry on February 2, 2010.

Where is Gerardo Ismael Gueco located?

Gerardo Ismael Gueco practices at 1000 W 10th St, Rolla, MO 65401. The listed phone number is (573) 364-9000.

What is Gerardo Ismael Gueco's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gerardo Ismael Gueco enrolled in Medicare?

Yes. Gerardo Ismael Gueco 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 Gerardo Ismael Gueco accept?

Health plans from Anthem Blue Cross and Blue Shield list Gerardo Ismael Gueco 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 Gerardo Ismael Gueco affiliated with any hospitals?

According to CMS data, Gerardo Ismael Gueco is affiliated with Phelps County Regional Medical Center, Barnes Jewish Hospital and Salem Memorial District Hospital.

When was this NPI record last updated?

The NPPES record for Gerardo Ismael Gueco was last updated on February 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.