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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Pflederer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois
0.7 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649

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 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
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Which organization bills Medicare for Benjamin Pflederer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Pflederer reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Peoria, IL). The 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 Benjamin Pflederer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.