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Deactivated NPI 1124029095 Deactivated / Inactive NPI Male Practitioner

Dr. Gary J Merlotti , MD

Surgery - Trauma Surgery • Olympia Fields, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Merlotti has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2005
NPI Deactivation Date January 22, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Merlotti, MD was a registered Surgery - Trauma Surgery practicing in Olympia Fields, IL. Throughout an active medical career spanning 14 years, Dr. Merlotti provided care at the practice location at 20201 CRAWFORD AVE until profile deactivation on 2019-01-22.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

20201 Crawford Ave

Olympia Fields, IL 604611010

Telephone 7087474000
Fax 7085032387
Associated Practice Facility / Clinic
🏢 Alverno Lakeside Corporation Facility NPI 1124021266

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Trauma Surgery in Olympia Fields, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Olympia Fields, IL (61 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
38 14 $260.00 $110.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
35 20 $191.00 $77.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes
20 13 $135.00 $41.85

Medical Specialties & State Licenses

Surgery - Trauma Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0127X

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003476268

Doctor of Osteopathic Medicine (D.O.)

Maria Ticsa

Student in an Organized Health Care Education/Training Program

NPI 1003660606
NPI 1013371442

Doctor of Osteopathic Medicine (D.O.)

Aisha Baggia

Student in an Organized Health Care Education/Training Program

NPI 1023862448
Orius Carter

Student in an Organized Health Care Education/Training Program

NPI 1023862976
Dr. Christopher Veltkamp , DO

Student in an Organized Health Care Education/Training Program

NPI 1023952090

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated January 22, 2019

Record deactivated on January 22, 2019

NPI Profile Active December 29, 2017

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2017

Registered at 840 S WOOD STREET, CSB - MC 958 - STE 616, CHICAGO, IL 60612 (Tel: 3129969336)

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Updated Business Mailing Address December 29, 2017

Registered at 840 S WOOD ST STE 616CSB, CHICAGO, IL 606124325 (Tel: 3129969336)

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Provider Name / Credentials Updated December 29, 2017

Recorded as GARY MERLOTTI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2017

Surgery (License #36.062194 in IL)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2017

Surgery (License #036026728 in IL)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 604611010 (Tel: 7087474000)

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Updated Business Mailing Address July 09, 2007

Registered at 20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 604611010 (Tel: 7087474000)

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Provider Name / Credentials Updated July 09, 2007

Recorded as GARY MERLOTTI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery

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Initial NPI Registration & Enumeration August 02, 2005

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: 1124029095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2005
Last Update: July 09, 2007
Deactivation Date: January 22, 2019

Mailing Address

20201 Crawford Ave

Olympia Fields, IL 604611010

Phone: 7087474000

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.