KENNETH FRASER
NPI 1194826115
Radiology - Diagnostic Radiology in Peoria, IL

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
411 HAMILTON BLVD, 1824, PEORIA, IL 61602(309) 494-9320 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Fraser NPPES

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

KENNETH FRASER (NPI 1194826115) is an individual diagnostic radiology provider in Peoria, Illinois, licensed in Illinois (088568) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of George Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1194826115
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKENNETH FRASER
Location Address411 HAMILTON BLVD, 1824Peoria, IL 61602-1144
Mailing Address10335 N Port Washington Rd, Suite 250Mequon, WI 53092-5763
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1982
Enumeration DateSeptember 25, 2006
Last NPPES UpdateOctober 30, 2007
NPI 1194826115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 088568
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
411 HAMILTON BLVD, Peoria, IL 61602

Other Identifiers 2

Medicare UPINE28572IL
Medicare PINL79527

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

Kenneth Fraser 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 ID6406768795
PECOS Enrollment IDI20110812000672
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 23

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
974 services799 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
292 services280 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
237 services234 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
220 services212 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
133 services132 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
110 services109 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61602 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 16

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

Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, SUITE 1824
PEORIA, IL 61602
Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, 1824
PEORIA, IL 61602
Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, 1824
PEORIA, IL 61602
Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, 1824
PEORIA, IL 61602
Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, 1824
PEORIA, IL 61602
Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, 1824
PEORIA, IL 61602
Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, 1824
PEORIA, IL 61602
Radiology (Diagnostic Radiology)
411 HAMILTON BLVD, 1824
PEORIA, IL 61602

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 Kenneth Fraser's NPI number?

The NPI number for Kenneth Fraser is 1194826115. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Kenneth Fraser located?

Kenneth Fraser practices at 411 Hamilton Blvd 1824, Peoria, IL 61602. The listed phone number is (309) 494-9320.

What is Kenneth Fraser's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kenneth Fraser enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Fraser affiliated with any hospitals?

According to CMS data, Kenneth Fraser is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, St Joseph Medical Center and Osf St Francis Hospital And Medical Group.

When was this NPI record last updated?

The NPPES record for Kenneth Fraser was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.