JOANNA C GARDNER M.D.
NPI 1104852631
Emergency Medicine in Peoria, IL

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2553(309) 655-2602 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joanna C Gardner M.d. NPPES

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

JOANNA C GARDNER M.D. (NPI 1104852631) is an individual emergency medicine provider in Peoria, Illinois and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2002).

NPPES Registry Identity

NPI1104852631
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJOANNA C GARDNERCredential: M.D.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000 · Fax (309) 655-7869
Fax(309) 655-2602
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2002
Enumeration DateJune 25, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1104852631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

530 NE GLEN OAK AVE, Peoria, IL 61637

Other Identifiers 3

Medicare UPINI32322
Other800810Medicare Group No.
Medicare PINK18439

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

Joanna C Gardner 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 ID6406892934
PECOS Enrollment IDI20050706000418
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
196 services193 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services73 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
37 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 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 61637 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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 20

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

Pharmacist
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pediatrics (Pediatric Critical Care Medicine)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Family Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Nurse Practitioner (Family)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Nurse Practitioner
530 NE GLEN OAK AVE
PEORIA, IL 61637
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104852631, enumerated as an "individual" on June 25, 2006.

The provider is located at 530 NE GLEN OAK AVE PEORIA, IL 61637 and the phone number is (309) 655-2553.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Joanna Gardner is affiliated with: SAINT FRANCIS MEDICAL CENTER.