BRANDON BOCKEWITZ MD
NPI 1619199627
Family Medicine - Sports Medicine in Peoria, IL

Q: What is Brandon Bockewitz's NPI number?

The NPI number for Brandon Bockewitz is 1619199627. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Brandon Bockewitz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Bockewitz was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment

5401 N KNOXVILLE AVE STE 112, PEORIA, IL 61614(309) 693-2020(309) 683-8850 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2020, Jul 9, 2018 (2 updates tracked since 2018).

On this page

About Brandon Bockewitz Md NPPES

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

BRANDON BOCKEWITZ MD (NPI 1619199627) is an individual sports medicine provider in Peoria, Illinois, licensed in Illinois (036121479) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Southern Illinois University School Of Medicine (2006).

NPPES Registry Identity

NPI1619199627

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameBRANDON BOCKEWITZCredential: MD

Location Address5401 N KNOXVILLE AVE STE 112Peoria, IL 61614-5021

Mailing Address5100 Reliable PkwyChicago, IL 60686-0001 · (309) 672-4809

Phone(309) 693-2020

Fax(309) 683-8850

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2006

Enumeration DateMay 2, 2007

Last NPPES UpdateJanuary 7, 20202 updates tracked since enumeration

✔ NPI 1619199627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IL · 036121479

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036121479 (IL)

5401 N KNOXVILLE AVE STE 112, Peoria, IL 61614

Open in Google Maps ↗

Other Identifiers 1

Other036121479IL · License

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

Brandon Bockewitz 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 ID4789731571

PECOS Enrollment IDI20090414000357

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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

2,849 services153 patients

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

1,740 services15 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

240 services126 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.

188 services138 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.

107 services77 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.

68 services68 patients

Hospital Affiliations CMS Care Compare 3

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

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 61614 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

$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.

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 Brandon Bockewitz's NPI number?

The NPI number for Brandon Bockewitz is 1619199627. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Brandon Bockewitz located?

Brandon Bockewitz practices at 5401 N Knoxville Ave Ste 112, Peoria, IL 61614. The listed phone number is (309) 693-2020.

What is Brandon Bockewitz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brandon Bockewitz enrolled in Medicare?

Yes. Brandon Bockewitz 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.

Is Brandon Bockewitz affiliated with any hospitals?

According to CMS data, Brandon Bockewitz is affiliated with Proctor Hospital, Saint Francis Medical Center and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Brandon Bockewitz was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.