AUDRA JOY STORM MD
NPI 1730767419
Family Medicine in Peoria, IL

Q: What is Audra Storm's NPI number?

The NPI number for Audra Storm is 1730767419. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Audra Storm's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Audra Storm was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

6339 N BIG HOLLOW RD, PEORIA, IL 61615(309) 693-3315 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2024, Mar 2, 2023, Jun 21, 2021 and 2 more (5 updates tracked since 2021).

On this page

About Audra Joy Storm Md NPPES

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

AUDRA JOY STORM MD (NPI 1730767419) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036171644) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730767419

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAUDRA JOY STORMCredential: MD

Location Address6339 N BIG HOLLOW RDPeoria, IL 61615-2907

Mailing Address6339 N Big Hollow RdPeoria, IL 61615-2907 · (309) 693-3315

Phone(309) 693-3315

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateOctober 14, 20245 updates tracked since enumeration

NPPES CertifiedOctober 14, 2024

✔ NPI 1730767419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036171644✔ Licensed in WI · 9173✔ Licensed in WI · 77357

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6339 N BIG HOLLOW RD, Peoria, IL 61615

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1815 10th St SLA Crosse, WI 54601-4764 · Phone (608) 785-0940

Location 2800 West Ave SouthLaCrosse, WI 54601-4783 · Phone (608) 785-0940

Location 3200 1st St SWRochester, MN 55905-0002 · Phone (715) 838-5222

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

Audra Joy Storm 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 ID749681716

PECOS Enrollment IDI20240925001960

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

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.

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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140064

Location3333 North SeminaryGalesburg, IL 61401 · Knox County

Emergency services Birthing friendly

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 61615 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 11

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

DR. LESLIE E JOHNSON M.D.

Family Medicine