Darrel Gumm, MD
NPI 1669406054 · Cardiovascular Disease Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Interventional Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Darrel Gumm, MD is a Cardiovascular Disease Physician provider in Peoria, IL (NPI 1669406054).
Provider details
- NPI number
- 1669406054
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036064999 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
508 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 326 | $123 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 99 | $9 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 28 | $65 |
| Anticoagulant Management of Patient Taking Warfarin93793 | 16 | $11 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 14 | $173 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 47 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 687 | 199 |
| Metoprolol Succinate | 374 | 124 |
| Rosuvastatin Calcium | 276 | 91 |
| Metoprolol Tartrate | 261 | 74 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 257 | 79 |
| Lisinopril | 233 | 68 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$705 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2010-08-31
Frequently asked questions
- What is Darrel Gumm's NPI number?
- Darrel Gumm's National Provider Identifier (NPI) is 1669406054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darrel Gumm's specialty?
- Darrel Gumm is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Darrel Gumm located?
- Darrel Gumm's practice location on file with NPPES is 5405 N Knoxville Ave, Peoria, IL 61614.
- What is Darrel Gumm's phone number?
- The practice phone number listed in the NPPES registry for Darrel Gumm is (309) 691-4410.
- Does Darrel Gumm accept Medicare?
- Darrel Gumm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Darrel Gumm's NPI active?
- Yes — Darrel Gumm's NPI (1669406054) is active in the NPPES registry as of the last update on 2010-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.