MR. PERRY P GUAGLIANONE M.D.
NPI 1932168309
Internal Medicine - Hematology & Oncology in Decatur, IL

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
77.67/100
CMS Quality Rating
210 W MCKINLEY AVE, SUITE 1, DECATUR, IL 62526(217) 876-6600(217) 876-6606 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Perry P Guaglianone M.d. NPPES

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

MR. PERRY P GUAGLIANONE M.D. (NPI 1932168309) is an individual hematology & oncology provider in Decatur, Illinois, licensed in Illinois (036099784) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1986).

NPPES Registry Identity

NPI1932168309
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMR. PERRY P GUAGLIANONECredential: M.D.
Location Address210 W MCKINLEY AVE, SUITE 1Decatur, IL 62526
Mailing Address210 W Mckinley Ave, Suite 1Decatur, IL 62526 · (217) 876-6600 · Fax (217) 876-6606
Fax(217) 876-6606
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1986
Enumeration DateMarch 22, 2006
Last NPPES UpdateFebruary 12, 2014
NPI 1932168309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IL · 036099784
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 036099784 (IL)
210 W MCKINLEY AVE, Decatur, IL 62526

Other Identifiers 5

Medicare UPINE57957IL
Medicare PINL70226
Medicare NSC0970490001
Medicare UPINE57957
Medicaid036099784IL

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

Mr. Perry P Guaglianone M.d. 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 ID840104089
PECOS Enrollment IDI20101108001451
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 74

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
48,000 services27 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
23,400 services122 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
12,800 services13 patients
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
3,800 services11 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,444 services37 patients
Injection, ondansetron hydrochloride, per 1 mg J2405
Ondansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.
1,924 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

77.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.39
Promoting Interoperability83
Improvement Activities40
Cost52.7

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier20 claims1,120 services$0.35 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier20 claims2,128 services$0.72 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier18 claims32 services$12.66 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 6

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

Internal Medicine (Medical Oncology)
210 W MCKINLEY AVE, SUITE 1
DECATUR, IL 62526
Pharmacy (Community/Retail Pharmacy)
210 W MCKINLEY AVE, SUITE 6
DECATUR, IL 62526
Internal Medicine (Hematology & Oncology)
210 W MCKINLEY AVE, SUITE 1
DECATUR, IL 62526
Nurse Practitioner
210 W MCKINLEY AVE
DECATUR, IL 62526
Pharmacist
210 W MCKINLEY AVE, STE 1
DECATUR, IL 62526
Internal Medicine (Medical Oncology)
210 W MCKINLEY AVE, SUITE 1
DECATUR, IL 62526

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 Perry Guaglianone's NPI number?

The NPI number for Perry Guaglianone is 1932168309. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Perry Guaglianone located?

Perry Guaglianone practices at 210 W Mckinley Ave Suite 1, Decatur, IL 62526. The listed phone number is (217) 876-6600.

What is Perry Guaglianone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Perry Guaglianone enrolled in Medicare?

Yes. Perry Guaglianone 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 Perry Guaglianone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Perry Guaglianone 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 Perry Guaglianone affiliated with any hospitals?

According to CMS data, Perry Guaglianone is affiliated with Decatur Memorial Hospital, St Marys Hospital, Warner Hospital And Health Services and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Perry Guaglianone was last updated on February 12, 2014. 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.