DR. GERALD A WANKUM M.D.
NPI 1689677254
Ophthalmology in Alton, IL

Q: What is Gerald Wankum's NPI number?

The NPI number for Gerald Wankum is 1689677254. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Q: What is Gerald Wankum's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Wankum was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 27, 2005PECOS Enrolled

3 PROFESSIONAL DR, ALTON, IL 62002(618) 465-2020(618) 465-2046 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Gerald A Wankum M.d. NPPES

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

DR. GERALD A WANKUM M.D. (NPI 1689677254) is an individual ophthalmology provider in Alton, Illinois, licensed in Illinois (036079558) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689677254

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. GERALD A WANKUMCredential: M.D.

Location Address3 PROFESSIONAL DRAlton, IL 62002-5067

Mailing Address320 Brookes Dr, Suite 111Hazelwood, MO 63042-2736 · (314) 726-5669 · Fax (314) 726-5109

Phone(618) 465-2020

Fax(618) 465-2046

Sole ProprietorNo

Enumeration DateMay 27, 2005

Last NPPES UpdateJune 29, 2012

✔ NPI 1689677254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036079558

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3 PROFESSIONAL DR, Alton, IL 62002

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Other Identifiers 1

Medicare UPINA11593

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerald A Wankum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Gerald Wankum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surevision Eye Centers Midwest LLC

22 mi

Ophthalmology

12101 WOODCREST EXECUTIVE DR STE 150
Creve Coeur, MO 63141

Reassigned Medicare billing, Missouri enrollment
6 clinicians in this Medicare group

NPI 1699857912 (314) 921-2020

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 62002 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 7

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

PAUL A HEISCHMIDT CRNA

Nurse Anesthetist, Certified Registered

3 PROFESSIONAL DR, STE B
ALTON, IL 62002

Madison County (618) 465-7177

UPPER CERVICAL CARE OF ALTON LLC

Clinic/Center (Health Service)

3 PROFESSIONAL DR, SUITE B
ALTON, IL 62002

Madison County (618) 465-7177

ANESTHESIA SERVICES ASSOCIATES PLLC

Anesthesiology (Pain Medicine)

3 PROFESSIONAL DR, SUITE B
ALTON, IL 62002

Madison County (618) 465-7177

THOMAS B BRUMMETT MD

Pain Medicine (Pain Medicine)

3 PROFESSIONAL DR, STE B
ALTON, IL 62002

Madison County (618) 465-7177

ALLISON CHANCELLOR

Physician Assistant (Medical)

3 PROFESSIONAL DR, SUITE B
ALTON, IL 62002

Madison County (618) 465-7177

ANESTHESIA SERVICES ASSOCIATES, PLLC

Durable Medical Equipment & Medical Supplies

3 PROFESSIONAL DR
ALTON, IL 62002

Madison County (618) 465-7177

IMAGING CENTER OF ALTON, LLC

Clinic/Center (Radiology)

3 PROFESSIONAL DR, SUITE A
ALTON, IL 62002

Madison County (618) 465-4674

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 Gerald Wankum's NPI number?

The NPI number for Gerald Wankum is 1689677254. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Gerald Wankum located?

Gerald Wankum practices at 3 Professional Dr, Alton, IL 62002. The listed phone number is (618) 465-2020.

What is Gerald Wankum's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gerald Wankum enrolled in Medicare?

Yes. Gerald Wankum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gerald Wankum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Wankum reassigns Medicare benefits to Surevision Eye Centers Midwest LLC (Creve Coeur, MO). The 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 Gerald Wankum'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 Gerald Wankum was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.