MATTHEW CULP
NPI 1285142281
Nurse Practitioner - Family in Peoria, IL

Active since January 12, 2018PECOS EnrolledAccepts Medicare Assignment
112 NE CRESCENT AVE, PEORIA, IL 61606(309) 672-4670 Get Directions Write a Review

NPPES record last updated: January 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew Culp NPPES

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

MATTHEW CULP (NPI 1285142281) is an individual family provider in Peoria, Illinois, licensed in Illinois (209017120) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285142281
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW CULP
Location Address112 NE CRESCENT AVEPeoria, IL 61606-1901
Mailing Address112 Ne Crescent AvePeoria, IL 61606-1901 · (309) 672-4670
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 12, 2018
✔ NPI 1285142281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209017120
112 NE CRESCENT AVE, Peoria, IL 61606

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

Matthew Culp 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 ID3870855729
PECOS Enrollment IDI20180313001604
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

4

Medicare enrollment records show Matthew Culp reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Family Medicine
5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services83 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier28 claims28 services$2,126.02 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 18

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

Physician Assistant
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Physician Assistant
112 NE CRESCENT AVE
PEORIA, IL 61606
Clinical Nurse Specialist
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Nurse Practitioner (Family)
112 NE CRESCENT AVE
PEORIA, IL 61606

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 Matthew Culp's NPI number?

The NPI number for Matthew Culp is 1285142281. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Where is Matthew Culp located?

Matthew Culp practices at 112 NE Crescent Ave, Peoria, IL 61606. The listed phone number is (309) 672-4670.

What is Matthew Culp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Culp enrolled in Medicare?

Yes. Matthew Culp 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 Matthew Culp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Culp reassigns Medicare benefits to 4 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL), Pekin Prohealth Inc (Pekin, IL) and Carle Health Medical Group (Urbana, IL). 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 Matthew Culp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Culp affiliated with any hospitals?

According to CMS data, Matthew Culp is affiliated with Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Matthew Culp was last updated on January 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.