Active NPI 1043285398 Individual Practitioner Male Practitioner

Dr. Crisanto Gualberto , MD

General Practice • Vandalia, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Crisanto Gualberto, MD is a certified General Practice practicing in Vandalia, MO. With approximately 55 years of clinical experience since completing medical education in 1971, Dr. Gualberto delivers high-quality medical care to the local community at 106 W STATE STREET.

Dr. Gualberto accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

106 W State Street

Vandalia, MO 63382

Telephone 5735946208

Fax 5735946780

Medicare Profile & Education

Medical School

Other

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Vandalia, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +12.5 yrs vs City Avg

City Avg: 42.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Vandalia, MO (221 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gualberto (55 Years) 55 Yrs

Vandalia Specialty Average (42.5 Years) 42.5 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	811	177	$56.00	$49.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	475	49	$67.00	$62.72
36415 Insertion of needle into vein for collection of blood sample	125	76	$10.00	$8.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg	119	53	$8.00	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	48	23	$10.00	$3.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	41	35	$15.00	$14.70
G0008 Administration of influenza virus vaccine	37	37	$19.86	$19.47
90662 Influenza vaccine split virus, preservative free	36	36	$80.00	$78.40
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$69.50	$65.95
93000 Routine ekg using at least 12 leads including interpretation and report	21	15	$57.00	$12.33
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$85.00	$70.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	921	192	$56.00	$51.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	504	38	$67.00	$66.02
36415 Insertion of needle into vein for collection of blood sample	167	101	$10.00	$8.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg	118	62	$8.00	$0.13
81000 Manual urinalysis test with examination using microscope, non-automated	76	38	$10.00	$3.94
G0008 Administration of influenza virus vaccine	44	44	$15.00	$14.70
90662 Influenza vaccine split virus, preservative free	40	40	$70.00	$68.60
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$70.00	$69.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	20	$15.00	$14.70
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$57.00	$13.16
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$85.00	$75.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	867	205	$55.00	$51.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	619	57	$67.00	$63.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg	134	60	$7.67	$0.12
36415 Insertion of needle into vein for collection of blood sample	129	89	$10.00	$2.95
81000 Manual urinalysis test with examination using microscope, non-automated	68	32	$10.00	$3.94
G0008 Administration of influenza virus vaccine	55	55	$15.00	$14.70
90662 Influenza vaccine split virus, preservative free	52	52	$70.00	$68.54
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$67.00	$66.30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	15	$15.00	$14.78
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$85.00	$83.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	880	198	$54.98	$52.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	777	76	$67.00	$64.78
36415 Insertion of needle into vein for collection of blood sample	137	102	$10.00	$2.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg	126	56	$7.00	$0.15
81000 Manual urinalysis test with examination using microscope, non-automated	75	34	$10.00	$4.02
G0008 Administration of influenza virus vaccine	48	48	$15.00	$15.00
90662 Influenza vaccine split virus, preservative free	37	37	$70.00	$65.26
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	36	36	$85.00	$84.78
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	12	$8.00	$1.99
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$15.00	$15.00
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$67.00	$67.00
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$30.00	$19.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	955	207	$54.00	$40.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	890	75	$67.00	$63.80
36415 Insertion of needle into vein for collection of blood sample	147	108	$10.00	$2.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg	101	50	$7.00	$0.12
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	95	13	$65.00	$56.49
81000 Manual urinalysis test with examination using microscope, non-automated	88	39	$10.00	$3.99
G0008 Administration of influenza virus vaccine	75	73	$15.00	$14.99
90662 Influenza vaccine split virus, preservative free	54	54	$70.00	$60.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	52	13	$8.00	$2.02
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	21	$30.00	$18.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$67.00	$65.00
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$15.00	$14.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$150.00	$111.93
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$15.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,230	247	$53.00	$40.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,223	91	$66.85	$63.43
36415 Insertion of needle into vein for collection of blood sample	155	108	$10.00	$2.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	149	74	$7.00	$0.12
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	122	16	$65.00	$56.25
G0008 Administration of influenza virus vaccine	82	81	$10.00	$9.80
81000 Manual urinalysis test with examination using microscope, non-automated	59	32	$10.00	$3.94
90662 Influenza vaccine split virus, preservative free	55	55	$70.00	$54.89
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	53	47	$15.00	$14.70
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$67.00	$64.32
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	32	32	$30.00	$17.48
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$15.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,462	263	$52.00	$38.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,131	91	$65.00	$62.29
36415 Insertion of needle into vein for collection of blood sample	227	130	$10.00	$2.94
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	125	15	$65.00	$54.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg	99	55	$7.00	$0.12
G0008 Administration of influenza virus vaccine	75	75	$10.00	$9.80
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	73	59	$15.00	$14.70
81000 Manual urinalysis test with examination using microscope, non-automated	66	33	$10.00	$3.94
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	49	49	$30.00	$17.48
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$65.00	$63.69
90662 Influenza vaccine split virus, preservative free	16	16	$70.00	$52.30
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$57.00	$14.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,453	258	$51.00	$37.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	960	83	$65.00	$61.15
36415 Insertion of needle into vein for collection of blood sample	198	119	$10.00	$2.94
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	133	14	$65.00	$53.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg	125	66	$7.00	$0.12
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	95	92	$29.84	$17.30
G0008 Administration of influenza virus vaccine	85	82	$10.00	$9.80
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	69	54	$15.00	$14.70
81000 Manual urinalysis test with examination using microscope, non-automated	48	23	$10.00	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$65.00	$63.72
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$57.00	$14.55

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO R6651

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2010

Registered at 106 W STATE STREET, VANDALIA, MO 63382 (Tel: 5735946208)

📍

Updated Business Mailing Address December 06, 2010

Registered at 106 W STATE STREET, VANDALIA, MO 633821239 (Tel: 5735946208)

👤

Provider Name / Credentials Updated December 06, 2010

Recorded as CRISANTO GUALBERTO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2010

General Practice (License #R6651 in MO)

🟢

Initial NPI Registration & Enumeration February 21, 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: 1043285398

Entity Type:

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

Enumeration Date: February 21, 2006

Last Update: December 06, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

106 W State Street

Vandalia, MO 633821239

Phone: 5735946208

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.