DEREK MINOR MD
NPI 1891315610
Surgery in Peoria, IL

Q: 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.

Q: What is Derek Minor's specialty?

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

Q: 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 14 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.

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: October 18, 2026.

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

On this page

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

Open in Google Maps ↗

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Derek Minor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group

7.4 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

Springfield Clinic, LLP

63 mi

Multi-Specialty

1025 S 6TH ST
Springfield, IL 62703

Reassigned Medicare billing, Illinois enrollment
735 clinicians in this Medicare group

NPI 1780638478 (217) 528-7541

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

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.

Which organizations bill Medicare for Derek Minor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Minor reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Springfield Clinic, LLP (Springfield, 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 Derek Minor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 14 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.