GEMILO RESABA M.D.
NPI 1760427199
Internal Medicine in Benton, IL

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
201 BAILEY LN, BENTON, IL 62812(618) 439-3161(618) 439-7126 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gemilo Resaba M.d. NPPES

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

GEMILO RESABA M.D. (NPI 1760427199) is an individual internal medicine provider in Benton, Illinois, licensed in Illinois (036085111) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Franklin Hospital, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1760427199
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGEMILO RESABACredential: M.D.
Location Address201 BAILEY LNBenton, IL 62812-1969
Mailing Address201 Bailey LnBenton, IL 62812-1969 · (618) 439-3161 · Fax (618) 439-7126
Fax(618) 439-7126
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJune 19, 2006
Last NPPES UpdateFebruary 1, 2012
NPI 1760427199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036085111
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 BAILEY LN, Benton, IL 62812

Other Identifiers 3

Medicare UPINF60949IL
Medicare ID-Type UnspecifiedK17003IL · Illinois Medicare
Medicaid036085111002IL

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

Gemilo Resaba 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 ID1153361100
PECOS Enrollment IDI20050509000971
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.

Hospital Affiliations CMS Care Compare

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

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62812 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%5,670 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%447 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
83%1,054 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%1,054 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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
7 suppliers46 claims99 services$6.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims22 services$0.94 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$8.45 avg. paid by Medicare
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
3 suppliers35 claims35 services$111.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.80 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 16

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

Clinic/Center (Magnetic Resonance Imaging (MRI))
201 BAILEY LN
BENTON, IL 62812
Registered Nurse
201 BAILEY LN
BENTON, IL 62812
Nurse Practitioner (Family)
201 BAILEY LN
BENTON, IL 62812
Registered Nurse
201 BAILEY LN
BENTON, IL 62812
Internal Medicine
201 BAILEY LN
BENTON, IL 62812
Licensed Practical Nurse
201 BAILEY LN
BENTON, IL 62812
Family Medicine
201 BAILEY LN
BENTON, IL 62812
Nurse Practitioner
201 BAILEY LN
BENTON, IL 62812

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 Gemilo Resaba's NPI number?

The NPI number for Gemilo Resaba is 1760427199. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Gemilo Resaba located?

Gemilo Resaba practices at 201 Bailey Ln, Benton, IL 62812. The listed phone number is (618) 439-3161.

What is Gemilo Resaba's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gemilo Resaba enrolled in Medicare?

Yes. Gemilo Resaba 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.

Is Gemilo Resaba affiliated with any hospitals?

According to CMS data, Gemilo Resaba is affiliated with Franklin Hospital.

When was this NPI record last updated?

The NPPES record for Gemilo Resaba was last updated on February 1, 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.