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DR. KATHERINE ANN BEAUDRY M.D.
NPI 1659667954
Dermatology in Peoria, IL

Active since June 24, 2011PECOS Enrolled
0/100
CMS Quality Rating
5401 N KNOXVILLE AVE STE 115, PEORIA, IL 61614(309) 691-2903 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Ann Beaudry M.d. NPPES

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

DR. KATHERINE ANN BEAUDRY M.D. (NPI 1659667954) is an individual dermatology provider in Peoria, Illinois, licensed in Illinois (036136919) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2011).

NPPES Registry Identity

NPI1659667954
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KATHERINE ANN BEAUDRYCredential: M.D.
Location Address5401 N KNOXVILLE AVE STE 115Peoria, IL 61614-5095
Mailing Address5401 N Knoxville Ave Ste 115Peoria, IL 61614-5095 · (309) 691-2903
Phone(309) 691-2903
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2011
Enumeration DateJune 24, 2011
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1659667954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036136919
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5401 N KNOXVILLE AVE STE 115, Peoria, IL 61614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Ann Beaudry M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375789134
PECOS Enrollment IDI20150602002891
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,461 services366 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.
853 services685 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
649 services484 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
294 services252 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
287 services253 patients
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.
157 services148 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

REBECCA BARRICK
Physician Assistant (Surgical)
5401 N KNOXVILLE AVE STE 115
PEORIA, IL 61614
Peoria County (309) 691-2903

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 Katherine Beaudry's NPI number?

The NPI number for Katherine Beaudry is 1659667954. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Katherine Beaudry located?

Katherine Beaudry practices at 5401 N Knoxville Ave Ste 115, Peoria, IL 61614. The listed phone number is (309) 691-2903.

What is Katherine Beaudry's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Katherine Beaudry enrolled in Medicare?

Yes. Katherine Beaudry is registered in the Medicare PECOS enrollment system.

Is Katherine Beaudry affiliated with any hospitals?

According to CMS data, Katherine Beaudry is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Beaudry was last updated on April 8, 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.