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DR. M. TERESA C. FRASER M.D.
NPI 1093928566
Psychiatry & Neurology - Neurology in Peoria, IL

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
1701 W. GARDEN STREET, PEORIA, IL 61605(309) 680-7600(309) 680-7637 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. M. Teresa C. Fraser M.d. NPPES

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

DR. M. TERESA C. FRASER M.D. (NPI 1093928566) is an individual neurology provider in Peoria, Illinois, licensed in Illinois (036-088897) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1093928566
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. M. TERESA C. FRASERCredential: M.D.
Location Address1701 W. GARDEN STREETPeoria, IL 61605-3531
Mailing Address1701 W. Garden Street, Heartland Community Health ClinicPeoria, IL 61605-3531 · (309) 680-7600 · Fax (309) 676-5506
Phone(309) 680-7600
Fax(309) 680-7637
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 9, 2010
✔ NPI 1093928566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036-088897
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1701 W. GARDEN STREET, Peoria, IL 61605
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Other Identifiers 3

Medicaid036088897IL
Medicare PINK47383IL
Other809840IL · Medicare Group #

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. M. Teresa C. Fraser M.d. 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 ID5395825574
PECOS Enrollment IDI20071228000378
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.
64 services59 patients
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.
54 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services37 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.
23 services22 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.
21 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61605 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 2

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

DEVASHISH AGARWAL M.D.
Family Medicine
1701 W. GARDEN STREET
PEORIA, IL 61605
Peoria County (309) 680-7600
MS. YVONNE M MCCALL PA
Physician Assistant (Medical)
1701 W. GARDEN STREET
PEORIA, IL 61605
Peoria County (309) 680-7600

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 M. Fraser's NPI number?

The NPI number for M. Fraser is 1093928566. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is M. Fraser located?

M. Fraser practices at 1701 W. Garden Street, Peoria, IL 61605. The listed phone number is (309) 680-7600.

What is M. Fraser's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is M. Fraser enrolled in Medicare?

Yes. M. Fraser 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 M. Fraser accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list M. Fraser 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 M. Fraser affiliated with any hospitals?

According to CMS data, M. Fraser is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for M. Fraser was last updated on August 9, 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.