GARY HENDRICKS MD
NPI 1770105249
Emergency Medicine in Springfield, IL
About Gary Hendricks Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY HENDRICKS MD (NPI 1770105249) is an individual emergency medicine provider in Springfield, Illinois, licensed in Illinois (036.165238) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
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
Gary Hendricks Md 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
2Medicare enrollment records show Gary Hendricks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62781
- Reassigned Medicare billing, Illinois enrollment
- 141 clinicians in this Medicare group
Jacksonville, IL 62650
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1235864810 (Illinois)
- 39 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62781 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62781
SPRINGFIELD, IL 62781
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 Gary Hendricks's NPI number?
The NPI number for Gary Hendricks is 1770105249. It was assigned to this individual provider in the NPPES registry on May 7, 2020.
Where is Gary Hendricks located?
Gary Hendricks practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 788-3156.
What is Gary Hendricks's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Gary Hendricks enrolled in Medicare?
Yes. Gary Hendricks 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 Gary Hendricks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Hendricks reassigns Medicare benefits to 2 organizations: Midwest Emergency Department Specialists Ltd (Springfield, IL) and Passavant Memorial Area Hospital Association (Jacksonville, 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 Gary Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gary Hendricks affiliated with any hospitals?
According to CMS data, Gary Hendricks is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Gary Hendricks was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gary Hendricks, MD · NPI 1770105249
Emergency Medicine physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since May 7, 2020.
## Identity
- **NPI:** 1770105249 (Entity type: Individual)
- **Enumerated:** May 7, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036.165238 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 N 1ST ST, Springfield, IL 62781-3757
- **Phone:** (217) 788-3156
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Midwest Emergency Department Specialists Ltd (NPI 1245263367, Springfield, IL); Passavant Memorial Area Hospital Association (NPI 1174580831, Jacksonville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1770105249) · Data from the CMS NPPES public registry.