TIMOTHY WHITEHEAD MD
NPI 1871752428
Radiology - Vascular & Interventional Radiology in Peoria, IL

Active since June 07, 2008PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2023, May 26, 2023 (2 updates tracked since 2023).

About Timothy Whitehead Md NPPES

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

TIMOTHY WHITEHEAD MD (NPI 1871752428) is an individual vascular & interventional radiology provider in Peoria, Illinois, licensed in Illinois (036-132985) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1871752428
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameTIMOTHY WHITEHEADCredential: MD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-5429
Mailing Address111 Oakwood RdEast Peoria, IL 61611-1853 · (309) 740-4272
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 7, 2008
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1871752428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in IL · 036-132985✔ Licensed in WI · 82252✔ Licensed in OH · 35.123822
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 35.123822 (OH)
530 NE GLEN OAK AVE, Peoria, IL 61637

Other Identifiers 2

Medicaid0104941OH
Other35.123822OH · License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Whitehead 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 ID6800011636
PECOS Enrollment IDI20231027001121, I20231027001431, I20231127001363
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

12

Medicare enrollment records show Timothy Whitehead reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
220 LINCOLN AVE
Fennimore, WI 53809
  • Reassigned Medicare billing, Wisconsin enrollment
  • 299 clinicians in this Medicare group
Clinic/Center
6150 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin and Minnesota enrollments
  • Also billed through NPI 1376593442 (Minnesota)
  • 1,457 clinicians in this Medicare group
Clinic/Center
610 E TAYLOR ST
Prairie Du Chien, WI 53821
  • Reassigned Medicare billing, Wisconsin, Iowa and Minnesota enrollments
  • Also billed through NPI 1831144302 (Iowa), NPI 1811949092 (Minnesota)
  • 928 clinicians in this Medicare group
Critical Access
333 E 2ND ST
Richland Center, WI 53581
  • Reassigned Medicare billing, Wisconsin enrollment
  • 109 clinicians in this Medicare group
Rural Health
124 W GREENE ST
Postville, IA 52162
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1164599643 (Iowa)
  • 89 clinicians in this Medicare group
Rural Health
301 RAILROAD RD
Wonewoc, WI 53968
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Josephs Health Services Inc
  • 282 clinicians in this Medicare group
Critical Access
507 S MAIN ST
Viroqua, WI 54665
  • Reassigned Medicare billing, Wisconsin enrollment
  • 127 clinicians in this Medicare group
Rural Health
207 N PIONEER PARK RD, UNIT 8
Westfield, WI 53964
  • Reassigned Medicare billing, Wisconsin enrollment
  • 280 clinicians in this Medicare group
Critical Access
501 GOPHER DR
Tomah, WI 54660
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1992970453 (Wisconsin)
  • 188 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
711 W ADAMS ST
Black River Falls, WI 54615
  • Reassigned Medicare billing, Wisconsin enrollment
  • 227 clinicians in this Medicare group

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 23

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
118 services108 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
70 services68 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
63 services60 patients
Replacement of kidney drainage tube using imaging guidance with review by radiologist 50435
This procedure involves replacing an existing kidney drainage tube. Using imaging technology, a radiologist precisely guides the process to ensure accuracy. This helps drain excess fluid from kidneys, improving their function and your comfort.
52 services23 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
48 services48 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
43 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Gundersen Tri-County Hospital & Clinics

Critical Access Hospitals · Whitehall, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521316
Location18601 Lincoln StWhitehall, WI 54773 · Trempealeau County
Emergency services

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Gundersen Boscobel Area Hospital And Clinics

Critical Access Hospitals · Boscobel, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521344
Location205 Parker StBoscobel, WI 53805 · Grant County
Emergency services

Vernon Memorial Hospital

Critical Access Hospitals · Viroqua, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521348
Location507 South Main StViroqua, WI 54665 · Vernon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Timothy Whitehead's NPI number?

The NPI number for Timothy Whitehead is 1871752428. It was assigned to this individual provider in the NPPES registry on June 7, 2008.

Where is Timothy Whitehead located?

Timothy Whitehead practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Timothy Whitehead's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Timothy Whitehead enrolled in Medicare?

Yes. Timothy Whitehead 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.

Which organizations bill Medicare for Timothy Whitehead's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Whitehead reassigns Medicare benefits to 12 organizations: Memorial Hospital Of Boscobel (Fennimore, WI), Gundersen Lutheran Medical Center Inc (Milwaukee, WI), Gundersen Clinic, Ltd. (Prairie Du Chien, WI), Richland Hospital (Richland Center, WI), Veterans Memorial Hospital City Of Waukon Ia (Postville, IA) and 7 more organizations, listed in the Medicare section above. 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 Timothy Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Whitehead accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Timothy Whitehead 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 Timothy Whitehead affiliated with any hospitals?

According to CMS data, Timothy Whitehead is affiliated with Gundersen Lutheran Medical Center, Gundersen Tri-County Hospital & Clinics, Tomah Memorial Hospital, Gundersen Boscobel Area Hospital And Clinics and Vernon Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Whitehead was last updated on October 13, 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.