TIMOTHY JAMES PETERSON MD
NPI 1497259360
Family Medicine in Chicago, IL
About Timothy James Peterson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY JAMES PETERSON MD (NPI 1497259360) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.156545) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Timothy James Peterson 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60608
- Reassigned Medicare billing, Illinois enrollment
- 113 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Illinois Hospital And Clinics
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60609
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 Timothy Peterson's NPI number?
The NPI number for Timothy Peterson is 1497259360. It was assigned to this individual provider in the NPPES registry on March 23, 2018.
Where is Timothy Peterson located?
Timothy Peterson practices at 4630 S Bishop St, Chicago, IL 60609. The listed phone number is (312) 996-2000.
What is Timothy Peterson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Peterson enrolled in Medicare?
Yes. Timothy Peterson 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 organization bills Medicare for Timothy Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Peterson reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The 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 Timothy Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Peterson affiliated with any hospitals?
According to CMS data, Timothy Peterson is affiliated with University Of Illinois Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Timothy Peterson was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Timothy James Peterson, MD · NPI 1497259360
Family Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 23, 2018.
## Identity
- **NPI:** 1497259360 (Entity type: Individual)
- **Enumerated:** March 23, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.156545 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4630 S BISHOP ST, Chicago, IL 60609-3240
- **Phone:** (312) 996-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Board Of Trustees Of The University Of Illinois (NPI 1669493466, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 28, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1497259360) · Data from the CMS NPPES public registry.