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DR. JAMES WILLIS PLEDGER II D.D.S
NPI 1265599864
Dentist - Oral and Maxillofacial Surgery in Peoria, IL

Active since January 02, 2007Opted out of Medicare · through Jun 28, 2027
2807 N KNOXVILLE AVE, PEORIA, IL 61604(309) 682-1213 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. James Willis Pledger Ii D.d.s NPPES

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

DR. JAMES WILLIS PLEDGER II D.D.S (NPI 1265599864) is an individual oral and maxillofacial surgery provider in Peoria, Illinois, licensed in Tennessee (8334) and active in the NPI registry since January 2007. He has opted out of Medicare through June 28, 2027.

NPPES Registry Identity

NPI1265599864
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAMES WILLIS PLEDGER IICredential: D.D.S
Location Address2807 N KNOXVILLE AVEPeoria, IL 61604-2869
Mailing Address2807 N Knoxville AvePeoria, IL 61604-2869 · (309) 682-1213
Phone(309) 682-1213
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1265599864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · 8334
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2807 N KNOXVILLE AVE, Peoria, IL 61604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James Willis Pledger Ii D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 28, 2023 through June 28, 2027.

Opt-Out Effective DateJune 28, 2023
Opt-Out In Effect ThroughJune 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61604 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 3

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

ELAINE D MERITT
Registered Nurse (Women's Health Care, Ambulatory)
2807 N KNOXVILLE AVE
PEORIA, IL 61604
Peoria County (309) 966-3862
LARRY D OTTE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
2807 N KNOXVILLE AVE
PEORIA, IL 61604
Peoria County (309) 682-1213
DR. ROBERT JOHN BUSCH DMD MD
Dentist (Oral and Maxillofacial Surgery)
2807 N KNOXVILLE AVE
PEORIA, IL 61604
Peoria County (309) 682-1213

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 James Pledger's NPI number?

The NPI number for James Pledger is 1265599864. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is James Pledger located?

James Pledger practices at 2807 N Knoxville Ave, Peoria, IL 61604. The listed phone number is (309) 682-1213.

What is James Pledger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Pledger enrolled in Medicare?

No. James Pledger has opted out of Medicare through June 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does James Pledger accept?

Health plans from Humana list James Pledger 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 James Pledger was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.