BENJAMIN R PFLEDERER MD
NPI 1306976964
Internal Medicine - Nephrology in Peoria, IL

Q: What is Benjamin Pflederer's NPI number?

The NPI number for Benjamin Pflederer is 1306976964. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Benjamin Pflederer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 06, 2007PECOS Enrolled

87.08/100

CMS Quality Rating

200 E PENNSYLVANIA AVE, SUITE 212, PEORIA, IL 61603(309) 676-8123(309) 676-8455 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Benjamin R Pflederer Md NPPES

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

BENJAMIN R PFLEDERER MD (NPI 1306976964) is an individual nephrology provider in Peoria, Illinois, licensed in Illinois (036079736) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306976964

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameBENJAMIN R PFLEDERERCredential: MD

Location Address200 E PENNSYLVANIA AVE, SUITE 212Peoria, IL 61603-3089

Mailing Address200 E Pennsylvania Ave, Suite 212Peoria, IL 61603-3089 · (309) 676-8123 · Fax (309) 676-8455

Phone(309) 676-8123

Fax(309) 676-8455

Sole ProprietorNo

Enumeration DateMarch 6, 2007

Last NPPES UpdateDecember 11, 2008

✔ NPI 1306976964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IL · 036079736

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

200 E PENNSYLVANIA AVE, Peoria, IL 61603

Open in Google Maps ↗

Other Identifiers 4

Other390001122IL · Bcbs

Medicare UPINE04872IL

Other390001122IL · Railroad Medicare

Medicare PINL06968IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin R Pflederer Md 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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

204 services76 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

50 services49 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

41 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services28 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.79

Promoting Interoperability

100

Improvement Activities

Cost

52.82

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$85.46 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 20

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

DR. DOUGLAS JUVINALL MD

Psychiatry & Neurology (Neurology)

200 E PENNSYLVANIA AVE
PEORIA, IL 61603

Peoria County (309) 624-4000

DR. CAROLINE MARIE RAYBURN AUD

Audiologist

200 E PENNSYLVANIA AVE
PEORIA, IL 61603

Peoria County (309) 624-4000

DR. JOHN W HSU MD

Transplant Surgery

200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603

Peoria County (309) 676-8123

DEAN A GRAVLIN M.D.

Internal Medicine

200 E PENNSYLVANIA AVE, STE 105
PEORIA, IL 61603

Peoria County (309) 655-7888

FREDERICK HORVATH MD

Internal Medicine (Nephrology)

200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603

Peoria County (309) 676-8123

MRS. EVANNE M IHNKEN PA-C

Physician Assistant

200 E PENNSYLVANIA AVE
PEORIA, IL 61603

Peoria County (309) 624-4000

KAVYA MORAVINENI MD

Psychiatry & Neurology (Neurology)

200 E PENNSYLVANIA AVE
PEORIA, IL 61603

Peoria County (309) 624-4000

LOAN T NGUYEN APN, CNP

Nurse Practitioner

200 E PENNSYLVANIA AVE
PEORIA, IL 61603

Peoria County (309) 624-4000

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 Benjamin Pflederer's NPI number?

The NPI number for Benjamin Pflederer is 1306976964. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Benjamin Pflederer located?

Benjamin Pflederer practices at 200 E Pennsylvania Ave Suite 212, Peoria, IL 61603. The listed phone number is (309) 676-8123.

What is Benjamin Pflederer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Benjamin Pflederer enrolled in Medicare?

Yes. Benjamin Pflederer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Pflederer was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.