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DR. ANTHONY V DECEANNE DPM
NPI 1083613293
Podiatrist - Foot & Ankle Surgery in Peoria, IL

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
5017 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 691-1589(309) 692-2032 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Anthony V Deceanne Dpm NPPES

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

DR. ANTHONY V DECEANNE DPM (NPI 1083613293) is an individual foot & ankle surgery provider in Peoria, Illinois, licensed in Illinois (016004489) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1083613293
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ANTHONY V DECEANNECredential: DPM
Location Address5017 N GLEN PARK PLACE RDPeoria, IL 61614-4677
Mailing Address435 W Detweiller DrPeoria, IL 61615-2116 · (309) 689-8859
Phone(309) 691-1589
Fax(309) 692-2032
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 29, 2010
✔ NPI 1083613293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016004489
5017 N GLEN PARK PLACE RD, Peoria, IL 61614
Open in Google Maps ↗

Other Identifiers 7

Medicare UPINU26359IL
Medicare UPINL18879ID
Medicare NSC0926880001IL
Medicare UPINL37909IL
Medicaid016004489IL
Medicare ID-Type Unspecified732422IL
Medicare ID-Type Unspecified732420IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony V Deceanne Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426056508
PECOS Enrollment IDI20100728000513
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
640 services194 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
233 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services100 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
108 services27 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
101 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

DR. CURTIS L WARD DPM
Podiatrist (Foot & Ankle Surgery)
5017 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 691-1589
DR. ABIGAIL ALAYNE MAHONEY DPM
Podiatrist (Foot & Ankle Surgery)
5017 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 691-1589
ACPM PODIATRY GROUP, LTD
Podiatrist (Foot & Ankle Surgery)
5017 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 691-1589

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 Anthony Deceanne's NPI number?

The NPI number for Anthony Deceanne is 1083613293. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Anthony Deceanne located?

Anthony Deceanne practices at 5017 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 691-1589.

What is Anthony Deceanne's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Anthony Deceanne enrolled in Medicare?

Yes. Anthony Deceanne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Deceanne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Anthony Deceanne 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.

Is Anthony Deceanne affiliated with any hospitals?

According to CMS data, Anthony Deceanne is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Deceanne was last updated on March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.