MICHAEL VANANTWERP MD
NPI 1790349033
Emergency Medicine in O Fallon, IL

Q: What is Michael Vanantwerp's NPI number?

The NPI number for Michael Vanantwerp is 1790349033. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Q: What is Michael Vanantwerp's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment

77.26/100

CMS Quality Rating

320 E HIGHWAY 50, O FALLON, IL 62269(888) 577-6337 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Apr 23, 2019 (2 updates tracked since 2019).

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About Michael Vanantwerp Md NPPES

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

MICHAEL VANANTWERP MD (NPI 1790349033) is an individual emergency medicine provider in O Fallon, Illinois, licensed in Illinois (036.158946) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1790349033

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMICHAEL VANANTWERPCredential: MD

Location Address320 E HIGHWAY 50O Fallon, IL 62269-2704

Mailing Address320 E Highway 50O Fallon, IL 62269-2704 · (888) 577-6337

Phone(888) 577-6337

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2019

Enumeration DateApril 23, 2019

Last NPPES UpdateJune 15, 20222 updates tracked since enumeration

NPPES CertifiedJune 15, 2022

✔ NPI 1790349033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036.158946✔ Licensed in MI · 4301506138

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

320 E HIGHWAY 50, O Fallon, IL 62269

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Secondary Practice Location 1

Location 16071 W Outer DrDetroit, MI 48235-2624 · Phone (313) 966-3329

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Michael Vanantwerp 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.

PECOS PAC ID7113251109

PECOS Enrollment IDI20220822001663

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.

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.

176 services171 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.

118 services116 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.

53 services52 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

39 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Chester, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141338

Location1900 State StChester, IL 62233 · Randolph County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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.

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.

77.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.24

Promoting Interoperability

100

Improvement Activities

Cost

41.96

Other Providers at the Same Location NPPES 12

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

SARAH JANE BRASHEAR FNP-C

Nurse Practitioner (Family)