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MR. LAWRENCE VINCENT GRATKINS MD
NPI 1912003013
Obstetrics & Gynecology in Normal, IL

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
1300 FRANKLIN AVE STE 270, NORMAL, IL 61761(309) 454-1074(309) 454-3554 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Lawrence Vincent Gratkins Md NPPES

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

MR. LAWRENCE VINCENT GRATKINS MD (NPI 1912003013) is an individual obstetrics & gynecology provider in Normal, Illinois, licensed in Illinois (036059120) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Gibson City.

NPPES Registry Identity

NPI1912003013
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. LAWRENCE VINCENT GRATKINSCredential: MD
Location Address1300 FRANKLIN AVE STE 270Normal, IL 61761-3691
Mailing Address1300 Franklin Ave, Ste 270Normal, IL 61761-3691 · (309) 454-1074 · Fax (309) 454-3554
Phone(309) 454-1074
Fax(309) 454-3554
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1912003013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036059120
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1300 FRANKLIN AVE STE 270, Normal, IL 61761
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 N Melvin StGibson City, IL 60936-1477 · Phone (217) 784-2340 · Fax (217) 784-2334

Other Identifiers 1

Medicaid036059120IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Mr. Lawrence Vincent Gratkins 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 ID5799728101
PECOS Enrollment IDI20050608000062, I20251103000687
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lawrence Gratkins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology II, Ltd
Same address
Obstetrics & Gynecology
1302 FRANKLIN AVE, SUITE 2800
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
NPI 1306048723 (309) 454-1074
Gibson Community Hospital Association
2.7 mi
Pain Medicine
1015 S MERCER AVE
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1790913903 (Illinois)
  • 201 clinicians in this Medicare group
NPI 1457616229 (217) 784-4251
Seven Hills Ob-Gyn Associates LLC
155 mi
Obstetrics & Gynecology
11405 PENNSYLVANIA ST STE 260 & 260B
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 135 clinicians in this Medicare group
NPI 1396350187 (317) 334-5718

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 3

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.

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.
41 services31 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
22 services22 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean 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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141317
Location1120 N Melvin StreetGibson City, IL 60936 · Ford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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
$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.

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 Lawrence Gratkins's NPI number?

The NPI number for Lawrence Gratkins is 1912003013. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Lawrence Gratkins located?

Lawrence Gratkins practices at 1300 Franklin Ave Ste 270, Normal, IL 61761. The listed phone number is (309) 454-1074.

What is Lawrence Gratkins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lawrence Gratkins enrolled in Medicare?

Yes. Lawrence Gratkins 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 Lawrence Gratkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Gratkins reassigns Medicare benefits to 3 organizations: Obstetrics & Gynecology II, Ltd (Normal, IL), Gibson Community Hospital Association (Bloomington, IL) and Seven Hills Ob-Gyn Associates LLC (Carmel, IN). 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 Lawrence Gratkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Gratkins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lawrence Gratkins 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 Lawrence Gratkins affiliated with any hospitals?

According to CMS data, Lawrence Gratkins is affiliated with Carle Bromenn Medical Center, St Joseph Medical Center, Northwestern Medicine Central Dupage Hospital and Gibson Community Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Gratkins was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.