GARETH MICHAEL MCGEE D.O
NPI 1891195434
Colon & Rectal Surgery in Peoria, IL

Active since September 02, 2014PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1001 MAIN ST STE 300, PEORIA, IL 61606(217) 528-7541 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Mar 22, 2021, Feb 8, 2021 and 3 more (6 updates tracked since 2020).

About Gareth Michael Mcgee D.o NPPES

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

GARETH MICHAEL MCGEE D.O (NPI 1891195434) is an individual colon & rectal surgery provider in Peoria, Illinois, licensed in Illinois (036174294) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1891195434
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameGARETH MICHAEL MCGEECredential: D.O
Location Address1001 MAIN ST STE 300Peoria, IL 61606-2036
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2014
Enumeration DateSeptember 2, 2014
Last NPPES UpdateNovember 11, 20256 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1891195434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in IL · 036174294
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 36702 (SC)
1001 MAIN ST STE 300, Peoria, IL 61606

Secondary Practice Location 1

Location 1210 Saint Joseph DrBloomington, IL 61701-3636 · Phone (309) 684-9100 · Fax (309) 684-9112

Other Identifiers 3

OtherSCI4637628SC · Medicare Pin
OtherSCI4633365SC · Medicare Pin
Medicaid367026SC

Accepted Insurance

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

Gareth Michael Mcgee D.o 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 ID6305173303
PECOS Enrollment IDI20250429003535
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 6

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 moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services26 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.
23 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services15 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1001 MAIN ST STE 300
PEORIA, IL 61606
Clinic/Center (Multi-Specialty)
1001 MAIN ST STE 300
PEORIA, IL 61606
Nurse Practitioner (Family)
1001 MAIN ST STE 300
PEORIA, IL 61606
Podiatrist (Foot Surgery)
1001 MAIN ST STE 300
PEORIA, IL 61606
Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Plastic Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Dietitian, Registered
1001 MAIN ST STE 300
PEORIA, IL 61606
Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606

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 Gareth Mcgee's NPI number?

The NPI number for Gareth Mcgee is 1891195434. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Where is Gareth Mcgee located?

Gareth Mcgee practices at 1001 Main St Ste 300, Peoria, IL 61606. The listed phone number is (217) 528-7541.

What is Gareth Mcgee's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Gareth Mcgee enrolled in Medicare?

Yes. Gareth Mcgee 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.

What insurance does Gareth Mcgee accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Gareth Mcgee 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 Gareth Mcgee affiliated with any hospitals?

According to CMS data, Gareth Mcgee is affiliated with Memorial Medical Center, St Joseph Medical Center and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Gareth Mcgee was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.