THOMAS GAVAGAN MPH
NPI 1558441808
Family Medicine in Chicago, IL
About Thomas Gavagan Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS GAVAGAN MPH (NPI 1558441808) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-067636) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Wright State University Boonshoft School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Thomas Gavagan Mph 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.
Medicare Billing Reassignments
3Medicare enrollment records show Thomas Gavagan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60620
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Aurora, IL 60505
- Reassigned Medicare billing, Illinois enrollment
- 39 clinicians in this Medicare group
Miami Gardens, FL 33169
- Reassigned Medicare billing, Illinois enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Thomas Gavagan's NPI number?
The NPI number for Thomas Gavagan is 1558441808. It was assigned to this individual provider in the NPPES registry on October 17, 2006.
Where is Thomas Gavagan located?
Thomas Gavagan practices at 2231 E 95th St, Chicago, IL 60617. The listed phone number is (773) 768-7700.
What is Thomas Gavagan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thomas Gavagan enrolled in Medicare?
Yes. Thomas Gavagan 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 Thomas Gavagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gavagan reassigns Medicare benefits to 3 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL), Community Health Partnership Of Illinois (Aurora, IL) and Pmr Illinois Holding, LLC (Miami Gardens, FL). 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 Thomas Gavagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thomas Gavagan was last updated on April 23, 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.
# Thomas Gavagan, MPH · NPI 1558441808
Family Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1558441808 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036-067636 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2231 E 95TH ST, Chicago, IL 60617-4804
- **Phone:** (773) 768-7700 · **Fax:** (773) 768-7768
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Board Of Trustees Of The University Of Illinois (NPI 1952713323, Chicago, IL); Community Health Partnership Of Illinois (NPI 1932375169, Aurora, IL); Pmr Illinois Holding, LLC (NPI 1770038671, Miami Gardens, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** April 23, 2021
- **Other identifiers:** Medicaid 8078M9 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1558441808) · Data from the CMS NPPES public registry.