1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Emergency Medicine
  6. NPI Profile

ELSBURGH CLARKE JR. MD
NPI 1689637217
Emergency Medicine in Peoria, IL

Active since April 06, 2006PECOS Enrolled
221 NE GLEN OAK AVE, PEORIA, IL 61603(309) 672-5522 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elsburgh Clarke Jr. Md NPPES

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

ELSBURGH CLARKE JR. MD (NPI 1689637217) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (036103700) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689637217
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameELSBURGH CLARKE JR.Credential: MD
Location Address221 NE GLEN OAK AVEPeoria, IL 61603-4307
Mailing Address21276 Network PlChicago, IL 60673-1212 · (877) 485-4474
Phone(309) 672-5522
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateAugust 18, 2009
✔ NPI 1689637217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036103700
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
221 NE GLEN OAK AVE, Peoria, IL 61603
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINA27890IL
Other36103700IL · Bcbs
Medicare PINK12636IL
OtherP00196870IL · Railroad Medicare
Medicaid036103700IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elsburgh Clarke Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Elsburgh Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hopedale Medical Foundation
22 mi
Critical Access
107 TREMONT
Hopedale, IL 61747
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1801033071 (Illinois)
  • 14 clinicians in this Medicare group
NPI 1174569438 (309) 449-3321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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.

Other Providers at the Same Location NPPES 12

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

TONYA VINING MD
Emergency Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 672-5522
DAWN CLARISSE TANNER PA-C
Physician Assistant
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 672-5522
MARIO MIRANDA DO
Emergency Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 672-5522
ANN JENKINS MD
Emergency Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 372-5522
ANDREW T HARRIS M.D.
Emergency Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 672-5522
COMPREHENSIVE EMERGENCY SOLUTIONS SC
Emergency Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 672-5522
HOREA BAILA MD
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 672-5790
MATTHEW MCMILLIN MD
Family Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 672-5522

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 Elsburgh Clarke's NPI number?

The NPI number for Elsburgh Clarke is 1689637217. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Elsburgh Clarke located?

Elsburgh Clarke practices at 221 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (309) 672-5522.

What is Elsburgh Clarke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Elsburgh Clarke enrolled in Medicare?

Yes. Elsburgh Clarke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elsburgh Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsburgh Clarke reassigns Medicare benefits to Hopedale Medical Foundation (Hopedale, 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 Elsburgh Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elsburgh Clarke was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.