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NATHAN D SCHROEDER D.M.D.
NPI 1356558282
Dentist - Oral and Maxillofacial Surgery in Peoria, IL

Active since May 17, 2007Opted out of Medicare · through Dec 20, 2027
5720 N KNOXVILLE AVE, PEORIA, IL 61614(309) 682-1213(309) 682-5386 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan D Schroeder D.m.d. NPPES

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

NATHAN D SCHROEDER D.M.D. (NPI 1356558282) is an individual oral and maxillofacial surgery provider in Peoria, Illinois, licensed in Iowa (30172) and active in the NPI registry since May 2007. He has opted out of Medicare through December 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356558282
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameNATHAN D SCHROEDERCredential: D.M.D.
Location Address5720 N KNOXVILLE AVEPeoria, IL 61614-4331
Mailing Address5720 N Knoxville AvePeoria, IL 61614-4331 · (309) 682-1213 · Fax (309) 682-5386
Phone(309) 682-1213
Fax(309) 682-5386
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1356558282 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 IA · 30172
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.
5720 N KNOXVILLE AVE, Peoria, IL 61614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Nathan D Schroeder D.m.d. 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 December 20, 2017 through December 20, 2027.

Opt-Out Effective DateDecember 20, 2017
Opt-Out In Effect ThroughDecember 20, 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 61614 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

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

ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD
Dentist (Oral and Maxillofacial Surgery)
5720 N KNOXVILLE AVE
PEORIA, IL 61614
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 Nathan Schroeder's NPI number?

The NPI number for Nathan Schroeder is 1356558282. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Nathan Schroeder located?

Nathan Schroeder practices at 5720 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 682-1213.

What is Nathan Schroeder's specialty?

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

Is Nathan Schroeder enrolled in Medicare?

No. Nathan Schroeder has opted out of Medicare through December 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nathan Schroeder accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 6 other insurers list Nathan Schroeder 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 Nathan Schroeder was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.