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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOLORES J GUNN M.D.
NPI 1740247360
Family Medicine in East Saint Louis, IL

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
2001 STATE ST, EAST SAINT LOUIS, IL 62205(618) 271-9191(618) 271-9617 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, May 5, 2021, Sep 12, 2019 (3 updates tracked since 2019).

About Dolores J Gunn M.d. NPPES

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

DOLORES J GUNN M.D. (NPI 1740247360) is an individual family medicine provider in East Saint Louis, Illinois, licensed in Illinois (036116296) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Touchette Regional Hospital Inc, and maintains a secondary practice location in Granite City.

NPPES Registry Identity

NPI1740247360
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDOLORES J GUNNCredential: M.D.
Location Address2001 STATE STEast Saint Louis, IL 62205-1803
Mailing Address1266 Edlor DrSaint Louis, MO 63138-3304 · (314) 308-9230
Phone(618) 271-9191
Fax(618) 271-9617
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1996
Enumeration DateApril 27, 2006
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1740247360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036116296✔ Licensed in MO · 119796
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036.116296 (IL)
2001 STATE ST, East Saint Louis, IL 62205
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Secondary Practice Location 1

Location 12166 Madison AveGranite City, IL 62040-4700 · Phone (618) 452-3301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica and more.Insurance ›

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

Dolores J Gunn 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 ID1153368501
PECOS Enrollment IDI20050418000024, I20061207000389
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 Reassignments

4

Medicare enrollment records show Dolores Gunn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Healthcare Foundation, Inc.
Same address
Federally Qualified Health Center (FQHC)
2001 STATE ST
East Saint Louis, IL 62205
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1811054935 (618) 271-9191
Deaconess Illinois Specialty Clinic, Inc.
19 mi
Interventional Cardiology
509 HAMACHER ST
Waterloo, IL 62298
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
NPI 1336856806 (618) 939-4200
Granite City Hospitalist Services LLC
77 mi
Hospitalist
2250 N ILLINOIS AVE
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 88 clinicians in this Medicare group
NPI 1669926424 (618) 833-1691
Integritas Emergency Physician Services LLC
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
139 services124 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
49 services48 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
34 services23 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140077
Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County
Emergency services

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62205 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims34 services$5.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$0.93 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.36 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 13

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

YOLANDA L HOAG ACNPC-AG
Nurse Practitioner (Acute Care)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-9191
KAYLA ANN PRYOR APRN
Nurse Practitioner (Family)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-0204
DR. RINA S. PATNEY M.D.
Pediatrics
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-9191
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-0207
DR. MIGUEL H. GRANGER MD
Family Medicine
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-9191
CHARLES SCHEER NP
Nurse Practitioner (Family)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-0204
JORDAN KENNETH MARSHALL MD
Emergency Medicine
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-0204
DANIELLE M LOFTUS DNP, APRN, FNP-BC
Nurse Practitioner
2001 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 271-0204

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 Dolores Gunn's NPI number?

The NPI number for Dolores Gunn is 1740247360. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Dolores Gunn located?

Dolores Gunn practices at 2001 State St, East Saint Louis, IL 62205. The listed phone number is (618) 271-9191.

What is Dolores Gunn's specialty?

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

Is Dolores Gunn enrolled in Medicare?

Yes. Dolores Gunn 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 Dolores Gunn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolores Gunn reassigns Medicare benefits to 4 organizations: Southern Illinois Healthcare Foundation, Inc. (East Saint Louis, IL), Deaconess Illinois Specialty Clinic, Inc. (Waterloo, IL), Granite City Hospitalist Services LLC (Carbondale, IL) and Integritas Emergency Physician Services LLC (IL). 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 Dolores Gunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dolores Gunn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Medica and UnitedHealthcare list Dolores Gunn 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 Dolores Gunn affiliated with any hospitals?

According to CMS data, Dolores Gunn is affiliated with Touchette Regional Hospital Inc, Gateway Regional Medical Center, Memorial Hospital and Anna Hospital Corporation D/B/A Union County Hospital.

When was this NPI record last updated?

The NPPES record for Dolores Gunn was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.