Active NPI 1275957334 Individual Practitioner Male Practitioner

Dr. Nicholas Guastalli , DO

Internal Medicine • Kankakee, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Guastalli, DO is a certified Internal Medicine practicing in Kankakee, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Guastalli delivers high-quality medical care to the local community at 401 N WALL ST STE 102.

Dr. Guastalli is affiliated with Riverside Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 N Wall St Ste 102

Kankakee, IL 609012934

Telephone 8159285090

Fax 8159285079

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kankakee, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -5.6 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

30 Specialists

Practicing in Kankakee, IL (7544 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guastalli (12 Years) 12 Yrs

Kankakee Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	852	453	$205.00	$122.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	524	346	$27.71	$15.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	417	417	$225.00	$123.50
G0008 Administration of influenza virus vaccine	104	102	$52.00	$31.15
90662 Influenza vaccine split virus, preservative free	95	94	$97.00	$81.40
99213 Established patient office or other outpatient visit, typically 15 minutes	70	70	$150.00	$86.93
99495 Transitional care management services for problem of at least moderate complexity	70	59	$341.00	$196.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	35	$117.00	$50.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$321.00	$156.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$367.00	$157.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$367.00	$157.88
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$42.00	$13.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	768	443	$198.00	$124.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	387	387	$217.00	$126.28
G0008 Administration of influenza virus vaccine	122	116	$50.00	$32.01
90662 Influenza vaccine split virus, preservative free	111	105	$92.00	$71.53
99495 Transitional care management services for problem of at least moderate complexity	60	55	$325.00	$198.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	41	$112.00	$50.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$350.00	$162.22
G0009 Administration of pneumococcal vaccine	31	31	$50.00	$32.05
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	29	$546.00	$280.89
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$135.00	$88.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$350.00	$162.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$306.00	$163.56
81003 Automated urinalysis test	18	18	$16.00	$2.20
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$40.00	$14.06
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$30.00	$21.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	792	427	$198.00	$125.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	353	353	$217.00	$128.20
G0008 Administration of influenza virus vaccine	141	134	$50.00	$31.07
90662 Influenza vaccine split virus, preservative free	114	109	$92.00	$68.13
99495 Transitional care management services for problem of at least moderate complexity	46	43	$325.00	$201.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$350.00	$164.96
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$135.00	$89.16
G0009 Administration of pneumococcal vaccine	42	42	$50.00	$31.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	35	$112.00	$51.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$306.00	$165.48
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	29	$546.00	$277.98
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	27	25	$30.00	$20.97
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	16	$50.00	$15.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$350.00	$165.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$180.00	$132.61
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$40.00	$13.98
81003 Automated urinalysis test	11	11	$16.00	$2.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	773	426	$198.00	$127.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	325	325	$200.10	$131.31
G0008 Administration of influenza virus vaccine	146	145	$50.00	$17.90
90662 Influenza vaccine split virus, preservative free	132	131	$92.00	$64.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$306.00	$166.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	60	50	$112.00	$51.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	55	55	$350.00	$166.67
99495 Transitional care management services for problem of at least moderate complexity	55	44	$325.00	$202.67
99213 Established patient office or other outpatient visit, typically 15 minutes	46	39	$135.00	$89.88
G0009 Administration of pneumococcal vaccine	43	42	$50.00	$17.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	41	22	$50.00	$15.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$180.00	$121.26
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$88.00	$14.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$350.00	$166.99
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$39.25	$14.47
81003 Automated urinalysis test	16	16	$16.00	$2.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$30.00	$20.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	795	415	$176.00	$105.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	267	267	$192.04	$114.51
G0008 Administration of influenza virus vaccine	155	149	$47.78	$17.66
90662 Influenza vaccine split virus, preservative free	123	123	$80.00	$60.98
G0009 Administration of pneumococcal vaccine	75	75	$37.47	$17.57
99213 Established patient office or other outpatient visit, typically 15 minutes	65	59	$119.00	$69.90
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	64	41	$50.00	$15.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	59	59	$129.92	$118.28
99495 Transitional care management services for problem of at least moderate complexity	57	50	$325.00	$180.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$274.00	$162.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	39	39	$350.00	$168.78
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	32	32	$30.00	$19.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	29	$108.00	$52.55
99441 Telephone medical discussion with physician, 5-10 minutes	31	29	$71.00	$44.36
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$88.00	$16.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$350.00	$164.93
90670 Pneumococcal vaccine for injection into muscle	17	17	$232.71	$217.51
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$34.00	$16.66
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$111.54	$69.75
81003 Automated urinalysis test	11	11	$16.00	$2.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	999	470	$176.00	$104.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	232	232	$183.00	$111.77
G0009 Administration of pneumococcal vaccine	141	141	$30.00	$16.72
G0008 Administration of influenza virus vaccine	119	116	$42.00	$15.92
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	104	103	$30.00	$18.47
99213 Established patient office or other outpatient visit, typically 15 minutes	97	81	$119.00	$71.80
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	81	81	$119.00	$109.58
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	68	38	$50.00	$14.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$274.00	$160.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	60	47	$108.00	$51.34
90670 Pneumococcal vaccine for injection into muscle	60	60	$218.00	$208.68
99495 Transitional care management services for problem of at least moderate complexity	44	42	$325.00	$157.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$350.00	$165.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$350.00	$160.71
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	11	$100.00	$39.41
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$88.00	$16.36
90662 Influenza vaccine split virus, preservative free	15	14	$80.00	$53.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	14	$53.00	$16.22
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$34.00	$16.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,109	421	$176.00	$103.77
G0009 Administration of pneumococcal vaccine	142	142	$30.00	$21.42
G0008 Administration of influenza virus vaccine	111	107	$42.00	$21.44
90670 Pneumococcal vaccine for injection into muscle	110	110	$218.00	$196.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$274.00	$160.88
93000 Routine ekg using at least 12 leads including interpretation and report	65	63	$88.00	$15.93
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	63	62	$30.00	$18.65
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	51	36	$50.00	$13.35
99495 Transitional care management services for problem of at least moderate complexity	48	44	$325.00	$158.48
90662 Influenza vaccine split virus, preservative free	47	45	$80.00	$51.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	31	$106.32	$51.92
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$119.00	$70.82
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$119.00	$105.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$183.00	$112.62
69209 Removal of impacted ear wax by washing	15	14	$100.00	$13.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	173	$176.00	$128.61
G0008 Administration of influenza virus vaccine	55	55	$42.00	$26.60
G0009 Administration of pneumococcal vaccine	41	41	$30.00	$26.65
90662 Influenza vaccine split virus, preservative free	40	40	$80.00	$48.05
90670 Pneumococcal vaccine for injection into muscle	35	35	$218.00	$188.79
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$88.00	$20.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$274.00	$197.16
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$119.00	$85.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$237.00	$171.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	12	$50.00	$18.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$30.00	$18.65

Medical Specialties & State Licenses

CMS Verified: 2021-03-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036143561

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Riverside Health System

401 N Wall St, Kankakee, IL 609012934

Phone: 8159285090

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Tracey Peachey , FNP

Nurse Practitioner

NPI 1124872924

Family Nurse Practitioner

Dr. Lisa Patel , MD

Internal Medicine

NPI 1154810778

Doctor of Medicine (M.D.)

Dr. Mobolaji Suleiman , MD

Internal Medicine - Geriatric Medicine

NPI 1184764086

Doctor of Medicine (M.D.)

Dr. Naresh Chandan , DO

Internal Medicine

NPI 1811094550

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Wroblewski , MD

Internal Medicine

NPI 1891833612

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2017

Registered at 401 N WALL ST STE 102, KANKAKEE, IL 609012934 (Tel: (815) 928-5090)

📍

Updated Business Mailing Address August 24, 2017

Registered at 401 N WALL ST STE 102, KANKAKEE, IL 609012934 (Tel: (815) 928-5090)

👤

Provider Name / Credentials Updated August 24, 2017

Recorded as NICHOLAS GUASTALLI, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Internal Medicine (License #036143561 in IL)

✅

NPI Profile Active February 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2014

Registered at 350 N WALL ST, KANKAKEE, IL 609012901 (Tel: 8159286274)

📍

Updated Business Mailing Address February 10, 2014

Registered at 2314 W HURON ST, APT 2, CHICAGO, IL 606121206 (Tel: 8155926696)

👤

Provider Name / Credentials Updated February 10, 2014

Recorded as NICHOLAS GUASTALLI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration February 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275957334

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 10, 2014

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

401 N Wall St Ste 102

Kankakee, IL 609012934

Phone: 8159285090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.