DR. MARK J HSU MD
NPI 1376573428
Internal Medicine - Cardiovascular Disease in Peoria, IL

Active since July 04, 2006PECOS Enrolled
5405 NORTH KNOXVILLE AVENUE, PEORIA, IL 61614(309) 691-4410(309) 589-2830 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark J Hsu Md NPPES

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

DR. MARK J HSU MD (NPI 1376573428) is an individual cardiovascular disease provider in Peoria, Illinois, licensed in Illinois (036-101389) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Medical College Of Ohio (1988).

NPPES Registry Identity

NPI1376573428
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MARK J HSUCredential: MD
Location Address5405 NORTH KNOXVILLE AVENUEPeoria, IL 61614
Mailing Address5405 North Knoxville AvenuePeoria, IL 61614 · (309) 691-4410 · Fax (309) 589-2830
Fax(309) 589-2830
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1988
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 6, 2010
NPI 1376573428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in IL · 036-101389 Licensed in IL · 036101389
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5405 NORTH KNOXVILLE AVENUE, Peoria, IL 61614

Other Identifiers 4

Medicare ID-Type UnspecifiedL74216IL
Medicaid036-101389IL
Medicaid036101389IL
Medicare UPINF46303IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark J Hsu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648223131
PECOS Enrollment IDI20050224000405
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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
753 services671 patients
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.
451 services321 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
356 services350 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
228 services225 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
228 services220 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
196 services188 patients

Hospital Affiliations CMS Care Compare 5

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

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
$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
$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.

Internal Medicine (Interventional Cardiology)
5405 NORTH KNOXVILLE AVENUE
PEORIA, IL 61614
Internal Medicine (Clinical Cardiac Electrophysiology)
5405 NORTH KNOXVILLE AVENUE
PEORIA, IL 61614
Internal Medicine (Clinical Cardiac Electrophysiology)
5405 NORTH KNOXVILLE AVENUE
PEORIA, IL 61614

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 Mark Hsu's NPI number?

The NPI number for Mark Hsu is 1376573428. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Mark Hsu located?

Mark Hsu practices at 5405 North Knoxville Avenue, Peoria, IL 61614. The listed phone number is (309) 691-4410.

What is Mark Hsu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Hsu enrolled in Medicare?

Yes. Mark Hsu is registered in the Medicare PECOS enrollment system.

What insurance does Mark Hsu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mark Hsu 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.

Is Mark Hsu affiliated with any hospitals?

According to CMS data, Mark Hsu is affiliated with Graham Hospital Association, St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Hsu was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.