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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL BRIAN MCINTYRE ED.D
NPI 1386608008
Psychologist - Health Service in Peoria, IL

Active since April 12, 2006PECOS Enrolled
87.08/100
CMS Quality Rating
7309 N KNOXVILLE AVE, PEORIA, IL 61614(309) 692-9898(309) 692-9055 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Brian Mcintyre Ed.d NPPES

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

DR. SAMUEL BRIAN MCINTYRE ED.D (NPI 1386608008) is an individual health service provider in Peoria, Illinois and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1386608008
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. SAMUEL BRIAN MCINTYRECredential: ED.D
Location Address7309 N KNOXVILLE AVEPeoria, IL 61614-2085
Mailing Address7309 N Knoxville AvePeoria, IL 61614-2085 · (309) 692-9898 · Fax (309) 692-9055
Phone(309) 692-9898
Fax(309) 692-9055
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1386608008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
7309 N KNOXVILLE AVE, Peoria, IL 61614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Brian Mcintyre Ed.d 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 ID3476593690
PECOS Enrollment IDI20050506000624
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 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

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.

ROB WIMMER P.A.
Physician Assistant (Surgical)
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 692-9898
BRADLEY ALAN KIRKENIR CRNA
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (217) 528-7541
JOHN J AYRES M.D.
Anesthesiology
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 282-0827
BETHANY GOTTLIEB CRNA
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 282-0827
DR. ROBERT STUART M.D.
Urology
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 692-9898
TRACY L SCHIERER APN
Nurse Practitioner (Family)
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 692-9898
EMILIE HUBBERT CRNA
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 282-0827
ZACHARY RAGAINS CRNA
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (217) 528-7541

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 Samuel Mcintyre's NPI number?

The NPI number for Samuel Mcintyre is 1386608008. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Samuel Mcintyre located?

Samuel Mcintyre practices at 7309 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 692-9898.

What is Samuel Mcintyre's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Samuel Mcintyre enrolled in Medicare?

Yes. Samuel Mcintyre 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.

When was this NPI record last updated?

The NPPES record for Samuel Mcintyre was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.