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DR. MATTHEW PAUL GULLONE M.D.
NPI 1548290901
Family Medicine in Galena, IL

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
ONE MEDICAL CENTER DR, GALENA, IL 61036(815) 777-1340(815) 776-7274 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Paul Gullone M.d. NPPES

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

DR. MATTHEW PAUL GULLONE M.D. (NPI 1548290901) is an individual family medicine provider in Galena, Illinois, licensed in Illinois (036123588) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2006).

NPPES Registry Identity

NPI1548290901
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW PAUL GULLONECredential: M.D.
Location AddressONE MEDICAL CENTER DRGalena, IL 61036
Mailing AddressOne Medical Center DrGalena, IL 61036 · (815) 777-1340 · Fax (815) 776-7274
Phone(815) 777-1340
Fax(815) 776-7274
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2006
Enumeration DateJuly 3, 2006
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1548290901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036123588✔ Licensed in IN · 11013121A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
ONE MEDICAL CENTER DR, Galena, IL 61036
Open in Google Maps ↗

Other Identifiers 2

Other036123588IL · License
Other11013121AIN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Quartz.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. Matthew Paul Gullone 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 ID4981789922
PECOS Enrollment IDI20100802000293
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Midwest Medical Center

Critical Access Hospitals · Galena, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141302
Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61036 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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers18 claims19 services$79.45 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.

DR. ELIZABETH ANN GULLONE M.D.
Family Medicine
ONE MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 776-7381

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 Matthew Gullone's NPI number?

The NPI number for Matthew Gullone is 1548290901. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Matthew Gullone located?

Matthew Gullone practices at One Medical Center Dr, Galena, IL 61036. The listed phone number is (815) 777-1340.

What is Matthew Gullone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Gullone enrolled in Medicare?

Yes. Matthew Gullone 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 Matthew Gullone accept?

Health plans from Medica and Quartz list Matthew Gullone 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 Matthew Gullone affiliated with any hospitals?

According to CMS data, Matthew Gullone is affiliated with Midwest Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Gullone was last updated on October 14, 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.