TODD GERLACH MD
NPI 1518046044
Plastic Surgery in Peoria, IL

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 674-7546(309) 282-0500 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Todd Gerlach Md NPPES

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

TODD GERLACH MD (NPI 1518046044) is an individual plastic surgery provider in Peoria, Illinois, licensed in Illinois (036105582) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1994).

NPPES Registry Identity

NPI1518046044
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameTODD GERLACHCredential: MD
Location Address4909 N GLEN PARK PLACE RDPeoria, IL 61614-4689
Mailing Address4909 N Glen Park Place RdPeoria, IL 61614-4689 · (309) 674-7546 · Fax (309) 282-0500
Fax(309) 282-0500
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1994
Enumeration DateNovember 3, 2006
Last NPPES UpdateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1518046044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in IL · 036105582
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4909 N GLEN PARK PLACE RD, Peoria, IL 61614

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

Todd Gerlach 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 ID9234187956
PECOS Enrollment IDI20050110000801
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 18

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 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.
192 services151 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
145 services129 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
93 services93 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
92 services84 patients
Complicated repair of wound of trunk, 2.6-7.5 cm 13101
This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.
85 services84 patients
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603
This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.
69 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 16

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

Dermatology
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Nurse Practitioner (Family)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Clinic/Center (Ambulatory Surgical)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Dermatology (Dermatopathology)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Surgery (Plastic and Reconstructive Surgery)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Physician Assistant (Medical)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Nurse Practitioner (Family)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Dermatology (Dermatopathology)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614

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 Todd Gerlach's NPI number?

The NPI number for Todd Gerlach is 1518046044. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Todd Gerlach located?

Todd Gerlach practices at 4909 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 674-7546.

What is Todd Gerlach's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Todd Gerlach enrolled in Medicare?

Yes. Todd Gerlach 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 Todd Gerlach accept?

Health plans from Medica list Todd Gerlach 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 Todd Gerlach affiliated with any hospitals?

According to CMS data, Todd Gerlach is affiliated with Proctor Hospital and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Gerlach was last updated on February 2, 2021. 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.