Active NPI 1417909060 Individual Practitioner Male Practitioner

Dr. Gary M Reagan , MD

Urology • Mount Vernon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gary Reagan, MD is a certified Urology practicing in Mount Vernon, IL. With approximately 45 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1981, Dr. Reagan delivers high-quality medical care to the local community at 209 CROSSROADS PL.

Dr. Reagan is affiliated with Deaconess Illinois Specialty Clinic, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, leuprolide acetate (for depot suspension), 7.5 mg, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

209 Crossroads Pl
Suite 110

Mount Vernon, IL 628646254

Telephone 6182446710

Fax 6182446779

Associated Practice Facility / Clinic

🏢 Crossroads Physician Corp Facility NPI 1780678797

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Mount Vernon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +17.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Mount Vernon, IL (663 Statewide)

Telehealth Adoption Rate

66.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reagan (45 Years) 45 Yrs

Mount Vernon Specialty Average (28.0 Years) 28.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	301	239	$168.45	$86.75
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	179	19	$906.88	$178.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	81	$238.57	$121.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$273.74	$107.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$415.00	$161.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	37	$94.29	$53.33
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	18	$89.35	$32.51
55700 Biopsy of prostate gland	25	25	$618.76	$121.78
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$640.00	$69.47
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$170.00	$63.83
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$6559.33	$676.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$46.00	$13.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	323	231	$167.54	$87.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	164	19	$867.13	$168.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$277.49	$110.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	69	$94.02	$54.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	51	$233.78	$121.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	53	19	$86.28	$32.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$429.00	$163.68
52000 Diagnostic exam of bladder and urethra using an endoscope	28	28	$565.70	$74.34
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$190.00	$70.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	13	$50.00	$22.03
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	12	$762.30	$152.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$1180.18	$141.68
52204 Biopsy of the bladder using an endoscope	12	11	$1119.00	$125.80
52648 Laser vaporization of prostate including control of bleeding using an endoscope	11	11	$5616.00	$683.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	215	$158.03	$87.78
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	154	21	$128.70	$127.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	67	$229.64	$123.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$227.43	$107.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$349.68	$158.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	16	$29.76	$13.79
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	19	$64.93	$31.59
52000 Diagnostic exam of bladder and urethra using an endoscope	19	18	$179.48	$71.93
55700 Biopsy of prostate gland	17	16	$290.31	$119.34
52648 Laser vaporization of prostate including control of bleeding using an endoscope	17	17	$1526.52	$666.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	428	293	$160.00	$90.15
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	207	25	$286.21	$149.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	86	$239.59	$126.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$239.60	$109.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	54	22	$73.84	$31.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$365.89	$166.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	19	$30.93	$13.81
52000 Diagnostic exam of bladder and urethra using an endoscope	22	21	$234.10	$73.94
52287 Exam with injections of chemical for destruction of bladder using an endoscope	21	17	$388.16	$163.76
55700 Biopsy of prostate gland	17	17	$310.71	$124.34
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$950.80	$398.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	488	347	$158.00	$73.62
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	213	25	$905.00	$221.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$278.00	$106.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	86	$234.00	$106.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	54	26	$89.00	$30.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$429.00	$163.90
52000 Diagnostic exam of bladder and urethra using an endoscope	21	20	$580.00	$76.15
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	11	$456.00	$176.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$94.00	$44.77
55700 Biopsy of prostate gland	17	17	$377.00	$127.79
52648 Laser vaporization of prostate including control of bleeding using an endoscope	16	16	$5616.00	$677.37
52005 Insertion of tube into ureter using an endoscope through bladder area	15	15	$646.00	$115.53
52281 Dilation of bladder canal (urethra) using an endoscope	12	11	$710.00	$157.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	563	393	$158.00	$71.37
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	197	20	$905.00	$225.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$278.00	$104.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	107	$234.00	$104.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$429.00	$158.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	52	20	$89.00	$29.22
51702 Simple insertion of temporary bladder tube	40	12	$196.00	$59.69
52648 Laser vaporization of prostate including control of bleeding using an endoscope	38	38	$5616.00	$695.61
52000 Diagnostic exam of bladder and urethra using an endoscope	34	32	$580.00	$73.12
55700 Biopsy of prostate gland	28	28	$377.00	$112.06
52287 Exam with injections of chemical for destruction of bladder using an endoscope	27	13	$456.00	$169.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	19	$190.00	$72.21
52005 Insertion of tube into ureter using an endoscope through bladder area	17	17	$646.00	$130.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$94.00	$43.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	507	362	$158.00	$70.32
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	326	33	$905.00	$212.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$278.00	$103.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	108	$234.00	$102.41
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	84	33	$89.00	$29.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$429.00	$160.86
52000 Diagnostic exam of bladder and urethra using an endoscope	35	34	$580.00	$73.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$94.00	$40.86
52648 Laser vaporization of prostate including control of bleeding using an endoscope	21	21	$5616.00	$700.19
52005 Insertion of tube into ureter using an endoscope through bladder area	20	19	$646.00	$123.49
55700 Biopsy of prostate gland	16	16	$377.00	$133.40
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$417.00	$132.01
50590 Shock wave crushing of kidney stones	11	11	$2984.82	$601.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	545	376	$158.00	$69.88
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	321	33	$905.00	$209.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	183	$234.00	$102.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$278.00	$103.22
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	81	34	$89.00	$30.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$429.00	$157.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	48	$94.00	$41.66
52000 Diagnostic exam of bladder and urethra using an endoscope	49	45	$580.00	$89.12
55700 Biopsy of prostate gland	29	29	$377.00	$121.62
52005 Insertion of tube into ureter using an endoscope through bladder area	28	27	$646.00	$117.91
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	17	$417.00	$113.22
52648 Laser vaporization of prostate including control of bleeding using an endoscope	19	19	$5616.00	$691.19
50590 Shock wave crushing of kidney stones	18	16	$2934.33	$551.03
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	13	$456.00	$171.99
52204 Biopsy of the bladder using an endoscope	16	15	$1119.00	$137.11
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	13	12	$719.00	$131.51

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036-064567

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Deaconess Illinois Specialty Clinic, Inc.

209 Crossroads Pl, Mount Vernon, IL 628646545

Phone: 6182441937

Practice Associates & Co-Workers

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

6 Associated Practitioners

Alexis Fischer , FNP-C

Nurse Practitioner - Family

NPI 1346956828

Family Nurse Practitioner (Certified)

Sonya Mckinney , APRN

Nurse Practitioner

NPI 1407221484

Advanced Practice Registered Nurse

Ty Miller , NP

Registered Nurse

NPI 1497681803

Nurse Practitioner

Dr. Chirag Dave , MD

Internal Medicine - Pulmonary Disease

NPI 1790725307

Doctor of Medicine (M.D.)

Dr. Elizabeth Cox , MD

Family Medicine

NPI 1801806039

Doctor of Medicine (M.D.)

Dr. Lawrence Hollander , MD, FACS

Surgery

NPI 1912959578

Doctor of Medicine (M.D.), FACS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2015

Registered at 209 CROSSROADS PL, SUITE 110, MOUNT VERNON, IL 628646254 (Tel: 6182446710)

📍

Updated Business Mailing Address July 16, 2015

Registered at 209 CROSSROADS PL 150, MOUNT VERNON, IL 628646546 (Tel: 6182446710)

👤

Provider Name / Credentials Updated July 16, 2015

Recorded as GARY REAGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Urology (License #036-064567 in IL)

🟢

Initial NPI Registration & Enumeration May 16, 2006

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: 1417909060

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: July 16, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

209 Crossroads Pl 150

Mount Vernon, IL 628646546

Phone: 6182446710

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

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