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TROY PEQUETTE
NPI 1184714487
Pediatrics in Peoria, IL

Active since October 15, 2006PECOS EnrolledAccepts Medicare Assignment
2900 N KNOXVILLE AVE, PEORIA, IL 61603(309) 688-3616(309) 687-3370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Troy Pequette NPPES

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

TROY PEQUETTE (NPI 1184714487) is an individual pediatrics provider in Peoria, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1184714487
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTROY PEQUETTE
Location Address2900 N KNOXVILLE AVEPeoria, IL 61603-1748
Mailing Address2900 N Knoxville AvePeoria, IL 61603-1748 · (309) 688-3616 · Fax (309) 687-3370
Phone(309) 688-3616
Fax(309) 687-3370
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184714487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2900 N KNOXVILLE AVE, Peoria, IL 61603
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Other Identifiers 3

Medicare UPING84274IL
Medicare ID-Type UnspecifiedL98662IL · Individual #
Medicare ID-Type Unspecified809840IL · 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

Troy Pequette 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 ID7618042235
PECOS Enrollment IDI20080818000066
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bed side rails, half length E0305
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$7.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JOHN GALBREATH
Pediatrics
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 688-3616
BONITA G. DIETRICH
Nurse Practitioner
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 688-3616
ARLETA DEDIANOUS APRN
Pediatrics (Pediatric Allergy/Immunology)
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 308-2000
JASON E. BECKER
Pediatrics
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 688-3616

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 Troy Pequette's NPI number?

The NPI number for Troy Pequette is 1184714487. It was assigned to this individual provider in the NPPES registry on October 15, 2006.

Where is Troy Pequette located?

Troy Pequette practices at 2900 N Knoxville Ave, Peoria, IL 61603. The listed phone number is (309) 688-3616.

What is Troy Pequette's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Troy Pequette enrolled in Medicare?

Yes. Troy Pequette 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 Troy Pequette accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Troy Pequette 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 Troy Pequette was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.