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GUSTAVO VONDERLANCKEN MD
NPI 1881683282
Surgery in Granite City, IL

Active since October 18, 2005PECOS Enrolled
2044 MADISON AVE, SUITE 27, GRANITE CITY, IL 62040(618) 451-7600 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gustavo Vonderlancken Md NPPES

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

GUSTAVO VONDERLANCKEN MD (NPI 1881683282) is an individual surgery provider in Granite City, Illinois, licensed in Illinois (036109409) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and is a graduate of Kansas City College Of Medicine And Surgery (1998).

NPPES Registry Identity

NPI1881683282
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGUSTAVO VONDERLANCKENCredential: MD
Location Address2044 MADISON AVE, SUITE 27Granite City, IL 62040-4641
Mailing Address2044 Madison Ave, Suite 27Granite City, IL 62040-4641 · (618) 451-7600
Phone(618) 451-7600
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 1998
Enumeration DateOctober 18, 2005
Last NPPES UpdateDecember 19, 2013
✔ NPI 1881683282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036109409
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.
2044 MADISON AVE, Granite City, IL 62040
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Other Identifiers 3

Medicare UPINH91615IL
Medicaid036109409IL
Medicare ID-Type UnspecifiedK06548

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 (PECOS)

Gustavo Vonderlancken Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123004603
PECOS Enrollment IDI20040625000460
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 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.

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.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
33%103 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%728 patients5/55-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.
100%214 patients5/55-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.
31%430 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%327 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 153 patients
79%70 patients4/55-star benchmark: 98%
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…
97%430 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%430 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
4%430 patients
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

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

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers12 claims240 services$2.17 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 17

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

GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC
Durable Medical Equipment & Medical Supplies
2044 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 451-0500
GRANITE CITY PHYSICIANS CORP
Internal Medicine
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Madison County (618) 798-8652
DIANE M SCHWIND NP
Nurse Practitioner (Adult Health)
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Madison County (618) 451-1500
BIJOY HEGDE MD, PC
Physical Medicine & Rehabilitation
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Madison County (618) 451-1500
DR. CHRISTOPHER JEAN KNAPP MD, MPH
Preventive Medicine (Occupational Medicine)
2044 MADISON AVE, SUITE G6
GRANITE CITY, IL 62040
Madison County (618) 798-3475
GRANITE CITY CLINIC CORP
Family Medicine
2044 MADISON AVE, SUITE 27
GRANITE CITY, IL 62040
Madison County (618) 451-7600
LAWRENCE HARMON MD
Internal Medicine
2044 MADISON AVE, SUITE 23
GRANITE CITY, IL 62040
Madison County (618) 451-1500
BIOMEDICAL IMAGING, LLC
Physiological Laboratory
2044 MADISON AVE, SUITE 28
GRANITE CITY, IL 62040
Madison County (618) 877-3225

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 Gustavo Vonderlancken's NPI number?

The NPI number for Gustavo Vonderlancken is 1881683282. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Gustavo Vonderlancken located?

Gustavo Vonderlancken practices at 2044 Madison Ave Suite 27, Granite City, IL 62040. The listed phone number is (618) 451-7600.

What is Gustavo Vonderlancken's specialty?

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

Is Gustavo Vonderlancken enrolled in Medicare?

Yes. Gustavo Vonderlancken is registered in the Medicare PECOS enrollment system.

What insurance does Gustavo Vonderlancken accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Gustavo Vonderlancken 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 Gustavo Vonderlancken affiliated with any hospitals?

According to CMS data, Gustavo Vonderlancken is affiliated with Gateway Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gustavo Vonderlancken was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.