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MR. JUSTIN DUANE FREDERICK KEARNEY M.D.
NPI 1235878497
Internal Medicine in Peoria, IL

Active since June 03, 2022PECOS EnrolledAccepts Medicare Assignment
530 N.E. GLEN OAK AVE, PEORIA, IL 61637(309) 655-6384(309) 655-7732 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Justin Duane Frederick Kearney M.d. NPPES

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

MR. JUSTIN DUANE FREDERICK KEARNEY M.D. (NPI 1235878497) is an individual internal medicine provider in Peoria, Illinois, licensed in Illinois (125.080969) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235878497
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JUSTIN DUANE FREDERICK KEARNEYCredential: M.D.
Location Address530 N.E. GLEN OAK AVEPeoria, IL 61637
Mailing Address530 N.e. Glen Oak AvePeoria, IL 61637 · (309) 655-2730 · Fax (309) 655-3297
Phone(309) 655-6384
Fax(309) 655-7732
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1235878497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.080969
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
530 N.E. GLEN OAK AVE, Peoria, IL 61637
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Justin Duane Frederick Kearney 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 ID2365957172
PECOS Enrollment IDI20250711001873
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

3

Medicare enrollment records show Justin Kearney reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee, Inc
185 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
185 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Ascension Medical Group-Fox Valley Wisconsin, Inc
247 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

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

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

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
$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.

Other Providers at the Same Location NPPES 3

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

ASHISH KUMAR ROY
Internal Medicine
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6384
RISHI MANISH BOTHARA M.B.B.S.
Internal Medicine
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
MISS DARSHINE VENUGOPAL M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6384

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 Justin Kearney's NPI number?

The NPI number for Justin Kearney is 1235878497. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Justin Kearney located?

Justin Kearney practices at 530 N.E. Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-6384.

What is Justin Kearney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Kearney enrolled in Medicare?

Yes. Justin Kearney 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.

Which organizations bill Medicare for Justin Kearney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Kearney reassigns Medicare benefits to 3 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Kearney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Kearney accept?

Health plans from Anthem Blue Cross and Blue Shield list Justin Kearney 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.

Is Justin Kearney affiliated with any hospitals?

According to CMS data, Justin Kearney is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Justin Kearney was last updated on October 25, 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.