JOHN PETERSON M.D.
NPI 1003833625
Internal Medicine in Champaign, IL

Active since July 17, 2006PECOS Enrolled
2917 CROSSING CT, SUITE B1, CHAMPAIGN, IL 61822(217) 344-2740(217) 344-2819 Get Directions Write a Review

NPPES record last updated: March 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Peterson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN PETERSON M.D. (NPI 1003833625) is an individual internal medicine provider in Champaign, Illinois, licensed in Illinois (036083081) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003833625
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN PETERSONCredential: M.D.
Location Address2917 CROSSING CT, SUITE B1Champaign, IL 61822-6184
Mailing Address2917 Crossing Ct, Suite B1Champaign, IL 61822-6184 · (217) 344-2740 · Fax (217) 344-2819
Fax(217) 344-2819
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 16, 2019
NPI 1003833625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036083081
Definition
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036083081 (IL)
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 036083081 (IL)
2917 CROSSING CT, Champaign, IL 61822

Other Identifiers 1

Medicaid036083081IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
2917 CROSSING CT, B2
CHAMPAIGN, IL 61822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Peterson's NPI number?

The NPI number for John Peterson is 1003833625. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is John Peterson located?

John Peterson practices at 2917 Crossing Ct Suite B1, Champaign, IL 61822. The listed phone number is (217) 344-2740.

What is John Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Peterson enrolled in Medicare?

Yes. John Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Peterson was last updated on March 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.