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DR. GRETCHEN L KOPEC M.D.
NPI 1063856342
Pediatrics - Neonatal-Perinatal Medicine in Peoria, IL

Active since April 17, 2013PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-0615 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gretchen L Kopec M.d. NPPES

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

DR. GRETCHEN L KOPEC M.D. (NPI 1063856342) is an individual neonatal-perinatal medicine provider in Peoria, Illinois, licensed in Illinois (036.148113) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063856342
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. GRETCHEN L KOPECCredential: M.D.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-1003
Mailing Address3113 Falcon PtSpringfield, IL 62711-7865 · (217) 553-7424
Phone(309) 624-0615
Sole ProprietorYes
Enumeration DateApril 17, 2013
Last NPPES UpdateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1063856342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036.148113
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gretchen L Kopec 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gretchen Kopec reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois
0.6 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649
Genesis Health System
75 mi
Hospice Care, Community Based
2546 TECH DR
Bettendorf, IA 52722
  • Reassigned Medicare billing, Iowa enrollment
  • 300 clinicians in this Medicare group
NPI 1013968262 (563) 421-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 Gretchen Kopec's NPI number?

The NPI number for Gretchen Kopec is 1063856342. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Gretchen Kopec located?

Gretchen Kopec practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-0615.

What is Gretchen Kopec's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Gretchen Kopec enrolled in Medicare?

Yes. Gretchen Kopec is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gretchen Kopec's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Kopec reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL) and Genesis Health System (Bettendorf, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gretchen Kopec's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gretchen Kopec accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Gretchen Kopec as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gretchen Kopec was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.