DR. MARK STIVERS M.D.
NPI 1417943523
Internal Medicine in Bloomington, IL

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
207 E HAMILTON RD, BLOOMINGTON, IL 61704(309) 827-4090 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2022, Oct 21, 2020 (2 updates tracked since 2020).

About Dr. Mark Stivers M.d. NPPES

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

DR. MARK STIVERS M.D. (NPI 1417943523) is an individual internal medicine provider in Bloomington, Illinois, licensed in Illinois (036.141995) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Osf Sacred Heart Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2001).

NPPES Registry Identity

NPI1417943523
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK STIVERSCredential: M.D.
Location Address207 E HAMILTON RDBloomington, IL 61704-7527
Mailing Address207 E Hamilton RdBloomington, IL 61704-7527 · (309) 827-4090
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2001
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1417943523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.141995
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036.141995 (IL)
207 E HAMILTON RD, Bloomington, IL 61704

Other Identifiers 1

Medicaid866220AZ

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

Dr. Mark Stivers M.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 ID1951386184
PECOS Enrollment IDI20170120002395
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

6

Medicare enrollment records show Mark Stivers reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
2200 E WASHINGTON ST
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Family Medicine
5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 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 3

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.

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.
122 services120 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.
107 services104 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
64 services64 patients

Hospital Affiliations CMS Care Compare 5

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

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion 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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$16.20 avg. paid by Medicare
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
2 suppliers38 claims38 services$83.58 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 8

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

Dietitian, Registered
207 E HAMILTON RD
BLOOMINGTON, IL 61704
Social Worker (Clinical)
207 E HAMILTON RD
BLOOMINGTON, IL 61704
Social Worker
207 E HAMILTON RD
BLOOMINGTON, IL 61704
Internal Medicine
207 E HAMILTON RD
BLOOMINGTON, IL 61704
Clinic/Center (VA)
207 E HAMILTON RD
BLOOMINGTON, IL 61704
Podiatrist
207 E HAMILTON RD
BLOOMINGTON, IL 61704
Psychologist (Clinical)
207 E HAMILTON RD
BLOOMINGTON, IL 61704
Social Worker (Clinical)
207 E HAMILTON RD
BLOOMINGTON, IL 61704

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 Stivers's NPI number?

The NPI number for Mark Stivers is 1417943523. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Mark Stivers located?

Mark Stivers practices at 207 E Hamilton Rd, Bloomington, IL 61704. The listed phone number is (309) 827-4090.

What is Mark Stivers's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Stivers enrolled in Medicare?

Yes. Mark Stivers 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 Mark Stivers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Stivers reassigns Medicare benefits to 6 organizations: Cep America-Illinois Hospitalists (Bloomington, IL), Advocate Health And Hospitals Corp. (Normal, IL), Pekin Prohealth Inc (Pekin, IL), Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL) and 1 more organization, listed in the Medicare section above. 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 Mark Stivers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Stivers affiliated with any hospitals?

According to CMS data, Mark Stivers is affiliated with Osf Sacred Heart Medical Center, Osf Saint Elizabeth Mdl Ctr, Carle Bromenn Medical Center, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Stivers was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.