DR. THOMAS P GUTMANN M.D.
NPI 1437165834
Internal Medicine in Saint Charles, MO

Q: What is Thomas Gutmann's NPI number?

The NPI number for Thomas Gutmann is 1437165834. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Thomas Gutmann's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Gutmann was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 31, 2006PECOS EnrolledAccepts Medicare Assignment

1475 KISKER RD STE 200, SAINT CHARLES, MO 63304(636) 498-5850 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Thomas P Gutmann M.d. NPPES

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

DR. THOMAS P GUTMANN M.D. (NPI 1437165834) is an individual internal medicine provider in Saint Charles, Missouri, licensed in Missouri (116009) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (1992).

NPPES Registry Identity

NPI1437165834

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THOMAS P GUTMANNCredential: M.D.

Location Address1475 KISKER RD STE 200Saint Charles, MO 63304-8788

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534

Phone(636) 498-5850

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 1992

Enumeration DateJuly 31, 2006

Last NPPES UpdateOctober 22, 2020

NPPES CertifiedOctober 22, 2020

✔ NPI 1437165834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MO · 116009✔ Licensed in IL · 036090509

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1475 KISKER RD STE 200, Saint Charles, MO 63304

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Other Identifiers 1

Medicaid036090509IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Thomas P Gutmann 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 ID8729989215

PECOS Enrollment IDI20071005000236

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 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.

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.

357 services230 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

78 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services29 patients

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.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260005

Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County

Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63304 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

25 suppliers59 claims161 services$5.46 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers23 claims27 services$1.09 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers13 claims13 services$82.63 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers13 claims38 services$30.97 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers12 claims12 services$11.53 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers14 claims84 services$1.93 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.

NICHOLAS MOORE M.D.

Family Medicine