BENJAMIN M HOLMAN P.A.
NPI 1770507246
Physician Assistant - Surgical in Peoria, IL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
6000 N ALLEN ROAD, PEORIA, IL 61614(309) 691-1400 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Benjamin M Holman P.a. NPPES

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

BENJAMIN M HOLMAN P.A. (NPI 1770507246) is an individual surgical provider in Peoria, Illinois, licensed in Illinois (085002725) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1770507246
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBENJAMIN M HOLMANCredential: P.A.
Location Address6000 N ALLEN ROADPeoria, IL 61614-3294
Mailing Address6000 N Allen RoadPeoria, IL 61614-3294 · (309) 691-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 31, 2019
NPI 1770507246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 085002725
6000 N ALLEN ROAD, Peoria, IL 61614

Other Identifiers 1

Medicaid085002725IL

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

Benjamin M Holman P.a. 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 ID9032115050
PECOS Enrollment IDI20061016000341
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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,360 services148 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
252 services213 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
200 services150 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.
78 services65 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.
78 services76 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
54 services53 patients

Hospital Affiliations CMS Care Compare 5

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

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

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

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.

Orthopaedic Surgery (Sports Medicine)
6000 N ALLEN ROAD
PEORIA, IL 61614
Physical Therapy Assistant
6000 N ALLEN ROAD
PEORIA, IL 61614
Occupational Therapist
6000 N ALLEN ROAD
PEORIA, IL 61614
Specialist
6000 N ALLEN ROAD
PEORIA, IL 61614
Occupational Therapist
6000 N ALLEN ROAD
PEORIA, IL 61614
Specialist/Technologist (Athletic Trainer)
6000 N ALLEN ROAD
PEORIA, IL 61614
Physical Therapy Assistant
6000 N ALLEN ROAD
PEORIA, IL 61614
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
6000 N ALLEN ROAD
PEORIA, IL 61614

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 Benjamin Holman's NPI number?

The NPI number for Benjamin Holman is 1770507246. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Benjamin Holman located?

Benjamin Holman practices at 6000 N Allen Road, Peoria, IL 61614. The listed phone number is (309) 691-1400.

What is Benjamin Holman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Benjamin Holman enrolled in Medicare?

Yes. Benjamin Holman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Benjamin Holman affiliated with any hospitals?

According to CMS data, Benjamin Holman is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital, Methodist Medical Center Of Illinois and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Holman was last updated on December 31, 2019. 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.