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DEREK MINOR MD
NPI 1891315610
Surgery in Peoria, IL

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST, PEORIA, IL 61606(309) 495-0200(309) 676-6545 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Apr 22, 2020 (2 updates tracked since 2020).

About Derek Minor Md NPPES

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

DEREK MINOR MD (NPI 1891315610) is an individual surgery provider in Peoria, Illinois, licensed in Illinois (036175746) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2020).

NPPES Registry Identity

NPI1891315610
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDEREK MINORCredential: MD
Location Address1001 MAIN STPeoria, IL 61606-1907
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(309) 495-0200
Fax(309) 676-6545
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2020
Enumeration DateApril 22, 2020
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1891315610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036175746
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1001 MAIN ST, Peoria, IL 61606
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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

Derek Minor 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 ID1355761461
PECOS Enrollment IDI20250714000318
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.

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

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean 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

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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.

JEREMIAH EDWARD CRABB VI M.D.
Internal Medicine (Critical Care Medicine)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
JAMIE DOUBET APN
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Peoria County (309) 495-0200
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
PAUL A SIEBERT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 MAIN ST, SUITE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
BRYNN N CINNAMON APN/CNP
Nurse Practitioner
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Peoria County (309) 672-4980
STEPHANIE CAIN APN, DNP
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Peoria County (309) 495-0200
KANINIKA VERMA MD
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
Internal Medicine (Gastroenterology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Peoria County (309) 672-4980

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 Derek Minor's NPI number?

The NPI number for Derek Minor is 1891315610. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Derek Minor located?

Derek Minor practices at 1001 Main St, Peoria, IL 61606. The listed phone number is (309) 495-0200.

What is Derek Minor's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Derek Minor enrolled in Medicare?

Yes. Derek Minor 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 Derek Minor affiliated with any hospitals?

According to CMS data, Derek Minor is affiliated with Proctor Hospital, Pekin Memorial Hospital, St Joseph Medical Center, Methodist Medical Center Of Illinois and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for Derek Minor was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.