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DR. JACOB PETER HOLTON MD
NPI 1821527201
Emergency Medicine in Bloomington, IL

Active since June 08, 2017PECOS Enrolled
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 662-3311 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jun 26, 2020, Jun 27, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jacob Peter Holton Md NPPES

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

DR. JACOB PETER HOLTON MD (NPI 1821527201) is an individual emergency medicine provider in Bloomington, Illinois, licensed in Illinois (036.152725) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1821527201
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACOB PETER HOLTONCredential: MD
Location Address2200 E WASHINGTON STBloomington, IL 61701-4364
Mailing Address2200 E Washington StBloomington, IL 61701-4364 · (309) 662-3311
Phone(309) 662-3311
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1821527201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036.152725✔ Licensed in IL · 125070487
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2200 E WASHINGTON ST, Bloomington, IL 61701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11750 W Harrison St Ste 108Chicago, IL 60612-3825 · Phone (312) 942-7802 · Fax (312) 942-4021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Peter Holton 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jacob Holton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Joseph Medical Center
Same address
General Acute Care Hospital
2200 E WASHINGTON ST
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 43 clinicians in this Medicare group
NPI 1619916806 (309) 662-3311
Saint Francis Medical Center
2.3 mi
Radiation Oncology
407 E VERNON AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 157 clinicians in this Medicare group
NPI 1306941760 (309) 451-2231
Saint James Hospital
24 mi
Family Medicine
1231 KLEEMANN DR
Clinton, IL 61727
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1356058119 (217) 935-5022
Osf Multi-Specialty Group
43 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
St. Mary Medical Center
79 mi
Family Medicine
100 N MONROE ST
Abingdon, IL 61410
  • Reassigned Medicare billing, Illinois enrollment
  • 101 clinicians in this Medicare group
NPI 1861109647 (309) 462-2343

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services85 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
84 services84 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
51 services50 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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.

KRISTA ELISABETH BAJJALIEH OTR/L
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
CRYSTAL LAMONT DNP, CRNA
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
DR. RICHARD SABBUN M.D.
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 665-5925
BAILEY WILSON
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-6275
MR. MICHAEL DANTI NOVARIO R.PH.
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-5191
MS. NARUMON HONGRATTANAVORAKIT
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-5190
YUWADEE H JOHNSON PHARMACY INTERN
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
TERRY M BRADY MD
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311

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 Jacob Holton's NPI number?

The NPI number for Jacob Holton is 1821527201. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Jacob Holton located?

Jacob Holton practices at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 662-3311.

What is Jacob Holton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Holton enrolled in Medicare?

Yes. Jacob Holton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Holton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Holton reassigns Medicare benefits to 5 organizations: St Joseph Medical Center (Bloomington, IL), Saint Francis Medical Center (Normal, IL), Saint James Hospital (Clinton, IL), Osf Multi-Specialty Group (Peoria, IL) and St. Mary Medical Center (Abingdon, IL). Each 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 Jacob Holton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Holton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.