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DR. GREGORY MCGOVERN M.D.
NPI 1699117358
Surgery in Rockford, IL

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
1340 CHARLES ST STE 100, ROCKFORD, IL 61104(779) 696-8700 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Mcgovern M.d. NPPES

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

DR. GREGORY MCGOVERN M.D. (NPI 1699117358) is an individual surgery provider in Rockford, Illinois, licensed in Illinois (125063364) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699117358
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GREGORY MCGOVERNCredential: M.D.
Location Address1340 CHARLES ST STE 100Rockford, IL 61104-2200
Mailing AddressPo Box 78866Milwaukee, WI 53278-0001 · (779) 696-7150
Phone(779) 696-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 23, 2013
Last NPPES UpdateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1699117358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 125063364✔ Licensed in IL · 036-146422
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1340 CHARLES ST STE 100, Rockford, IL 61104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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. Gregory Mcgovern 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 ID3274854013
PECOS Enrollment IDI20180719001242
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 4

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.
23 services19 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.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES 14

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

SUKHDEER SCOTTY SINGH DO
Orthopaedic Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900
DR. MOHAMMAD B HAIDAR D.O.
Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-8700
MR. MATTHEW W MORRIS P.A.-C
Physician Assistant
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900
DR. JASON J KLOVNING M.D.
Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-8700
TRACY A STEVENS
Nurse Practitioner
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-8700
LACEY M STELLE MD
Surgery (Surgical Oncology)
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-8700
JUSTIN JACOBSON PA
Physician Assistant
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900
MR. NATHAN DAVID RIGGINS ACNPC-AG
Nurse Practitioner (Acute Care)
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900

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 Gregory Mcgovern's NPI number?

The NPI number for Gregory Mcgovern is 1699117358. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Gregory Mcgovern located?

Gregory Mcgovern practices at 1340 Charles St Ste 100, Rockford, IL 61104. The listed phone number is (779) 696-8700.

What is Gregory Mcgovern's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gregory Mcgovern enrolled in Medicare?

Yes. Gregory Mcgovern 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 Gregory Mcgovern accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Aspirus Health Plan and Quartz list Gregory Mcgovern 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 Gregory Mcgovern affiliated with any hospitals?

According to CMS data, Gregory Mcgovern is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Gregory Mcgovern was last updated on March 5, 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.