DR. JEFFREY DAVID KLOPFENSTEIN M.D.
NPI 1578508354
Neurological Surgery in Peoria, IL

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
719 N WILLIAM KUMPF BLVD, SUITE 100, PEORIA, IL 61605(309) 676-0766(309) 676-5920 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey David Klopfenstein M.d. NPPES

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

DR. JEFFREY DAVID KLOPFENSTEIN M.D. (NPI 1578508354) is an individual neurological surgery provider in Peoria, Illinois, licensed in Illinois (036-114939) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of University Of Arizona College Of Medicine (1999).

NPPES Registry Identity

NPI1578508354
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JEFFREY DAVID KLOPFENSTEINCredential: M.D.
Location Address719 N WILLIAM KUMPF BLVD, SUITE 100Peoria, IL 61605-2530
Mailing Address719 N William Kumpf Blvd, Suite 100Peoria, IL 61605-2530 · (309) 676-0766 · Fax (309) 676-5920
Fax(309) 676-5920
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1999
Enumeration DateJune 17, 2006
Last NPPES UpdateSeptember 29, 2014
NPI 1578508354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in IL · 036-114939
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSpecialistTaxonomy 174400000X · License 036114939 (IL)
719 N WILLIAM KUMPF BLVD, Peoria, IL 61605

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 and accepts Medicare assignment

Dr. Jeffrey David Klopfenstein 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 ID4981616711
PECOS Enrollment IDI20060619000222
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 17

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 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.
51 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 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.
36 services35 patients
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.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

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

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

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 61605 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 14

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

Neurological Surgery
719 N WILLIAM KUMPF BLVD, SUITE 100
PEORIA, IL 61605
Nurse Practitioner (Acute Care)
719 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Neurological Surgery
719 N WILLIAM KUMPF BLVD, SUITE 100
PEORIA, IL 61605
Physical Therapist (Orthopedic)
719 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Durable Medical Equipment & Medical Supplies
719 N WILLIAM KUMPF BLVD, SUITE 100
PEORIA, IL 61605
Nurse Practitioner (Family)
719 N WILLIAM KUMPF BLVD, SUITE 100
PEORIA, IL 61605
Preventive Medicine (Occupational Medicine)
719 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Nurse Practitioner
719 N WILLIAM KUMPF BLVD, SUITE 100
PEORIA, IL 61605

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 Jeffrey Klopfenstein's NPI number?

The NPI number for Jeffrey Klopfenstein is 1578508354. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Jeffrey Klopfenstein located?

Jeffrey Klopfenstein practices at 719 N William Kumpf Blvd Suite 100, Peoria, IL 61605. The listed phone number is (309) 676-0766.

What is Jeffrey Klopfenstein's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jeffrey Klopfenstein enrolled in Medicare?

Yes. Jeffrey Klopfenstein 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.

What insurance does Jeffrey Klopfenstein accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jeffrey Klopfenstein 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 Jeffrey Klopfenstein affiliated with any hospitals?

According to CMS data, Jeffrey Klopfenstein is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Methodist Medical Center Of Illinois and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Klopfenstein was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.