DR. DAVID L PRIEBE M.D.
NPI 1194769166
Family Medicine - Sports Medicine in Granite City, IL

Q: What is David Priebe's NPI number?

The NPI number for David Priebe is 1194769166. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is David Priebe's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for David Priebe was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 16, 2006PECOS Enrolled

3986 MARYVILLE RD, GRANITE CITY, IL 62040(618) 797-0618(618) 797-2243 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2022, Jul 19, 2019 (2 updates tracked since 2019).

On this page

About Dr. David L Priebe M.d. NPPES

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

DR. DAVID L PRIEBE M.D. (NPI 1194769166) is an individual sports medicine provider in Granite City, Illinois, licensed in Wisconsin (66430) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194769166

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. DAVID L PRIEBECredential: M.D.

Location Address3986 MARYVILLE RDGranite City, IL 62040-4191

Mailing Address3986 Maryville RdGranite City, IL 62040-4191 · (618) 797-0618 · Fax (618) 797-2243

Phone(618) 797-0618

Fax(618) 797-2243

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateApril 18, 20222 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1194769166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in WI · 66430

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

3986 MARYVILLE RD, Granite City, IL 62040

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Secondary Practice Locations 2

Location 1500 W Leota St Ste 100North Platte, NE 69101-6578 · Phone (308) 534-4440 · Fax (308) 534-7675

Location 2W231N1440 Corporate CtWaukesha, WI 53186 · Phone (262) 896-6000 · Fax (308) 534-7675

Other Identifiers 1

Medicaid47081633613NE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David L Priebe M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show David Priebe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Care Specialists Sc

Same address

Family Medicine

3986 MARYVILLE RD
Granite City, IL 62040

Reassigned Medicare billing, Illinois enrollment
7 clinicians in this Medicare group

NPI 1811087604 (618) 797-0618

Rosebud Indian Health Service

644 mi

General Acute Care Hospital

400 SOLDIER CREEK ROAD
Rosebud, SD 57570

Reassigned Medicare billing, Texas enrollment
386 clinicians in this Medicare group

NPI 1194757369 (605) 747-3245

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 8

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

ROSS TYLER DC

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