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MR. GAURAV NIGAM MD
NPI 1437445947
Internal Medicine in Flora, IL

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
911 STACY BURK DRIVE, FLORA, IL 62839(618) 662-2131(618) 662-1473 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2024, Nov 25, 2018 (2 updates tracked since 2018).

About Mr. Gaurav Nigam Md NPPES

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

MR. GAURAV NIGAM MD (NPI 1437445947) is an individual internal medicine provider in Flora, Illinois, licensed in New Mexico (MD2018-0881) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1437445947
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. GAURAV NIGAMCredential: MD
Location Address911 STACY BURK DRIVEFlora, IL 62839
Mailing Address1605 E Plaza Dr, Ste 103Tallahassee, FL 32308-5327 · (850) 878-7271 · Fax (850) 878-1509
Phone(618) 662-2131
Fax(618) 662-1473
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 22, 2011
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
✔ NPI 1437445947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2018-0881
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.
911 STACY BURK DRIVE, Flora, IL 62839
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gaurav Nigam 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 ID4385953215
PECOS Enrollment IDI20190104000895
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

8

Medicare enrollment records show Gaurav Nigam reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Statera Health Care, LLC
66 mi
Emergency Medicine
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 169 clinicians in this Medicare group
NPI 1043874449 (618) 833-1691
Granite City Hospitalist Services LLC
76 mi
Hospitalist
2250 N ILLINOIS AVE
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 88 clinicians in this Medicare group
NPI 1669926424 (618) 833-1691
Welia Health
545 mi
Rural Health
1425 MAIN STREET NORTH
Pine City, MN 55063
  • Reassigned Medicare billing, Minnesota enrollment
  • 146 clinicians in this Medicare group
NPI 1992012207 (320) 629-7505
Range Regional Health Services
643 mi
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
NPI 1356321699 (218) 262-4881
Hospitalist Medicine Physicians Of Texas, PLLC
713 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, New Mexico enrollment
  • 251 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Presbyterian Healthcare Services
871 mi
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1629053509 (505) 469-7577
Northwest Hospital Medicine Physicians LLC
1,117 mi
Hospitalist
2450 S TELSHOR BLVD
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 66 clinicians in this Medicare group
NPI 1972056752 (575) 522-8641
Integritas Emergency Physician Services LLC
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
No phone listed

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 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.

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.
260 services125 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.
160 services145 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.
146 services133 patients
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.
73 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62839 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%71 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$19.26 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$2.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers51 claims51 services$17.90 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$7.78 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
3 suppliers86 claims86 services$101.94 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

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

MELISSA KAY LASLIE
Registered Nurse
911 STACY BURK DRIVE
FLORA, IL 62839
Clay County (618) 662-2191

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 Gaurav Nigam's NPI number?

The NPI number for Gaurav Nigam is 1437445947. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Gaurav Nigam located?

Gaurav Nigam practices at 911 Stacy Burk Drive, Flora, IL 62839. The listed phone number is (618) 662-2131.

What is Gaurav Nigam's specialty?

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

Is Gaurav Nigam enrolled in Medicare?

Yes. Gaurav Nigam 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.

Which organizations bill Medicare for Gaurav Nigam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaurav Nigam reassigns Medicare benefits to 8 organizations: Statera Health Care, LLC (Harrisburg, IL), Granite City Hospitalist Services LLC (Carbondale, IL), Welia Health (Pine City, MN), Range Regional Health Services (Hibbing, MN), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gaurav Nigam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gaurav Nigam affiliated with any hospitals?

According to CMS data, Gaurav Nigam is affiliated with Christus St Vincent Regional Medical Center and Los Alamos Medical Center.

When was this NPI record last updated?

The NPPES record for Gaurav Nigam was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.