PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
NPI 1720223837
Clinic/Center - Ambulatory Surgical in Peoria, IL
About Proctor Medical Group Surgery - C K Song Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROCTOR MEDICAL GROUP SURGERY - C K SONG MD (NPI 1720223837) is a healthcare organization registered as an ambulatory surgical in Peoria, Illinois and active in the NPI registry since December 2008. The organization lists Denise Brinker, System Analyst, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Proctor Medical Group Surgery - C K Song Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
348Medicare enrollment records show 348 clinicians reassign Medicare billing to Proctor Medical Group Surgery - C K Song MD, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 175 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 348Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Proctor Health Systems's NPI number?
The NPI number for Proctor Health Systems is 1720223837. It was assigned to this organization in the NPPES registry on December 4, 2008. The provider is doing business as Proctor Medical Group Surgery - C K Song MD.
Where is Proctor Health Systems located?
Proctor Health Systems is located at 5401 N Knoxville Ave Ste 217, Peoria, IL 61614. The listed phone number is (309) 691-1092.
What is Proctor Health Systems's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Proctor Health Systems enrolled in Medicare?
Yes. Proctor Health Systems is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proctor Health Systems?
According to the CMS Revalidation Reassignment List (October 2026 release), 348 clinicians in 30 Medicare specialties reassign their Medicare billing to Proctor Health Systems. A 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 the clinician's services. The largest specialties are Nurse Practitioner (116), Family Practice (74) and Internal Medicine (54). Of these, 3 practice at this address and 175 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Proctor Health Systems was last updated on December 4, 2008. 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.
# Proctor Medical Group Surgery - C K Song Md · NPI 1720223837
Ambulatory Surgical organization in Peoria, Illinois. Organization record, active in the CMS NPPES registry since December 4, 2008.
## Identity
- **NPI:** 1720223837 (Entity type: Organization)
- **Enumerated:** December 4, 2008
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Proctor Health Systems
- **Organization subpart:** Yes (part of Proctor Health Systems)
- **Authorized official:** Denise Brinker, SYSTEM ANALYST
## Practice location
- **Address:** 5401 N KNOXVILLE AVE, STE 217, Peoria, IL 61614-5098
- **Phone:** (309) 691-1092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 348 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (116), Family Practice (74), Internal Medicine (54); 3 practice at this address and 175 within 10 miles; [full list](https://npiprofile.com/npi/1720223837/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1720223837) · Data from the CMS NPPES public registry.