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XANE DONOVAN PETERS MD
NPI 1699303149
Surgery in Maywood, IL

Active since March 31, 2020PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 327-3436(708) 327-3489 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2025, Jun 11, 2020, Mar 31, 2020 (3 updates tracked since 2020).

About Xane Donovan Peters Md NPPES

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

XANE DONOVAN PETERS MD (NPI 1699303149) is an individual surgery provider in Maywood, Illinois, licensed in Illinois (036162651) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699303149
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameXANE DONOVAN PETERSCredential: MD
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 327-3436 · Fax (708) 327-3489
Phone(708) 327-3436
Fax(708) 327-3489
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1699303149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036162651
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2160 S 1ST AVE, Maywood, IL 60153
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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)

Xane Donovan Peters 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

DR. MICHAEL JM RAFFIN PH.D.
Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
MS. SONYA RESCHLY M.S.
Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
YING SUN M.S.
Specialist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
MRS. KATHLEEN E. SCHORE M.S., CCC-A
Specialist
2160 S 1ST AVE, LUMC/AUDIOLOGY
MAYWOOD, IL 60153
Cook County (708) 206-3821
KEVIN J EMBACH M.D.
Internal Medicine
2160 S 1ST AVE, LOYOLA UNIV. HOSPITAL, ROOM 7604
MAYWOOD, IL 60153
Cook County (708) 216-8757
J PAUL OKEEFE MD
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546)
MAYWOOD, IL 60153
Cook County (708) 354-9250
STUART BRIAN JOHNSON MD
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-3232
KAMIL MUZAFFAR MD
Otolaryngology
2160 S 1ST AVE, (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
MAYWOOD, IL 60153
Cook County (708) 233-5333

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 Xane Peters's NPI number?

The NPI number for Xane Peters is 1699303149. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Xane Peters located?

Xane Peters practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 327-3436.

What is Xane Peters's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Xane Peters enrolled in Medicare?

Yes. Xane Peters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Xane Peters was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.