MATTHEW WELCH
NPI 1811676828
Nurse Practitioner - Family in Pontiac, IL

Active since July 17, 2023PECOS EnrolledAccepts Medicare Assignment
2500 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-4062 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Matthew Welch NPPES

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

MATTHEW WELCH (NPI 1811676828) is an individual family provider in Pontiac, Illinois, licensed in Illinois (209027799) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811676828
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW WELCH
Location Address2500 W REYNOLDS STPontiac, IL 61764-9784
Mailing Address900 W Pine StChillicothe, IL 61523-1415 · (309) 678-2364
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1811676828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209027799
2500 W REYNOLDS ST, Pontiac, IL 61764

Accepted Insurance

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

Matthew Welch 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 ID3779939517
PECOS Enrollment IDI20231030003640
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 6

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 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.
117 services104 patients
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.
105 services89 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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 20

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

Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Medicare Defined Swing Bed Unit
2500 W REYNOLDS ST
PONTIAC, IL 61764
Physician Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Practitioner (Family)
2500 W REYNOLDS ST
PONTIAC, IL 61764
Occupational Therapy Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Developmental Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Family Medicine
2500 W REYNOLDS ST
PONTIAC, IL 61764

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 Matthew Welch's NPI number?

The NPI number for Matthew Welch is 1811676828. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Matthew Welch located?

Matthew Welch practices at 2500 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 844-4062.

What is Matthew Welch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Welch enrolled in Medicare?

Yes. Matthew Welch 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.

What insurance does Matthew Welch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Matthew Welch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Welch affiliated with any hospitals?

According to CMS data, Matthew Welch is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Welch was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.