DR. WILLIAM L. PETERSON M.D.
NPI 1174623854
Internal Medicine - Gastroenterology in Springfield, IL

Active since September 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1025 S 6TH ST, SPRINGFIELD, IL 62703(217) 528-7541(217) 788-5830 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 21, 2020, Oct 2, 2015 (2 updates tracked since 2015).

About Dr. William L. Peterson M.d. NPPES

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

DR. WILLIAM L. PETERSON M.D. (NPI 1174623854) is an individual gastroenterology provider in Springfield, Illinois, licensed in Illinois (036-082538) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of University Of North Dakota School Of Medicine (1981).

NPPES Registry Identity

NPI1174623854
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. WILLIAM L. PETERSONCredential: M.D.
Location Address1025 S 6TH STSpringfield, IL 62703-2403
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Fax(217) 788-5830
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1981
Enumeration DateSeptember 23, 2006
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
NPI 1174623854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IL · 036-082538
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1025 S 6TH ST, Springfield, IL 62703

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. William L. Peterson 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 ID1658337134
PECOS Enrollment IDI20041207000108
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 19

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 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.
247 services209 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
242 services236 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
232 services157 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
128 services126 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
90 services90 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
74 services72 patients

Hospital Affiliations CMS Care Compare 4

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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.

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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Counselor
1025 S 6TH ST
SPRINGFIELD, IL 62703
Anesthesiology
1025 S 6TH ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Nurse Anesthetist, Certified Registered
1025 S 6TH ST
SPRINGFIELD, IL 62703
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Ophthalmology
1025 S 6TH ST
SPRINGFIELD, IL 62703

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 William Peterson's NPI number?

The NPI number for William Peterson is 1174623854. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is William Peterson located?

William Peterson practices at 1025 S 6th St, Springfield, IL 62703. The listed phone number is (217) 528-7541.

What is William Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is William Peterson enrolled in Medicare?

Yes. William Peterson 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.

Is William Peterson affiliated with any hospitals?

According to CMS data, William Peterson is affiliated with St Johns Hospital, Decatur Memorial Hospital, Memorial Medical Center and Taylorville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for William Peterson was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.