JOHN THOMAS DOOLEY MD
NPI 1386625895
Surgery - Vascular Surgery in Peoria, IL

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
900 MAIN ST STE 660, PEORIA, IL 61602(309) 672-4670 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Thomas Dooley Md NPPES

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

JOHN THOMAS DOOLEY MD (NPI 1386625895) is an individual vascular surgery provider in Peoria, Illinois, licensed in Massachusetts (152376) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of University Of Massachusetts Medical School (1994).

NPPES Registry Identity

NPI1386625895
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJOHN THOMAS DOOLEYCredential: MD
Location Address900 MAIN ST STE 660Peoria, IL 61602-1060
Mailing Address6804 N Stonecrest CtPeoria, IL 61615-6620 · (781) 718-6960
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1994
Enumeration DateNovember 10, 2005
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1386625895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MA · 152376
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
900 MAIN ST STE 660, Peoria, IL 61602

Other Identifiers 1

Medicaid0195570MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Thomas Dooley Md 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 ID5597660688
PECOS Enrollment IDI20210208001642
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 Reassignments

3

Medicare enrollment records show John Dooley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group

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 19

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
83 services75 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.
79 services75 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
52 services47 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
48 services43 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
47 services46 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.
35 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61602 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 9

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

Advanced Practice Midwife
900 MAIN ST STE 660
PEORIA, IL 61602
Nurse Practitioner (Women's Health)
900 MAIN ST STE 660
PEORIA, IL 61602
Nurse Practitioner (Acute Care)
900 MAIN ST STE 660
PEORIA, IL 61602
Obstetrics & Gynecology
900 MAIN ST STE 660
PEORIA, IL 61602
Nurse Practitioner (Women's Health)
900 MAIN ST STE 660
PEORIA, IL 61602
Obstetrics & Gynecology
900 MAIN ST STE 660
PEORIA, IL 61602
Internal Medicine (Cardiovascular Disease)
900 MAIN ST STE 660
PEORIA, IL 61602
Obstetrics & Gynecology
900 MAIN ST STE 660
PEORIA, IL 61602

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 John Dooley's NPI number?

The NPI number for John Dooley is 1386625895. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is John Dooley located?

John Dooley practices at 900 Main St Ste 660, Peoria, IL 61602. The listed phone number is (309) 672-4670.

What is John Dooley's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is John Dooley enrolled in Medicare?

Yes. John Dooley 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.

Which organizations bill Medicare for John Dooley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dooley reassigns Medicare benefits to 3 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Carle Health Medical Group (Urbana, IL) and Lahey Clinic, Inc. (Burlington, MA). Each 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 John Dooley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Dooley accept?

Health plans from Taro Health list John Dooley 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 John Dooley affiliated with any hospitals?

According to CMS data, John Dooley is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for John Dooley was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.