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DR. SERGIO ELI MORALES
NPI 1902096142
Emergency Medicine in Peoria, IL

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2553(309) 655-2602 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sergio Eli Morales NPPES

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

DR. SERGIO ELI MORALES (NPI 1902096142) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (036-124131) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of University Of Michigan Medical School (2004).

NPPES Registry Identity

NPI1902096142
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SERGIO ELI MORALES
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2553 · Fax (309) 655-2602
Phone(309) 655-2553
Fax(309) 655-2602
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2004
Enumeration DateJuly 25, 2007
Last NPPES UpdateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
✔ NPI 1902096142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036-124131
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.
530 NE GLEN OAK AVE, Peoria, IL 61637
Open in Google Maps ↗

Other Identifiers 2

Other809840035IL · Individual Medicare No.
Other809840IL · Medicare Group No.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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

Dr. Sergio Eli Morales 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 ID2860540382
PECOS Enrollment IDI20090916000390
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

8

Medicare enrollment records show Sergio Morales reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Francis Medical Center
Same address
General Practice
530 NE GLEN OAK AVE
Peoria, IL 61637
  • Reassigned Medicare billing, Illinois enrollment
  • 157 clinicians in this Medicare group
NPI 1154215291 (309) 655-2000
Methodist Medical Center Of Illinois
0.2 mi
Emergency Care
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 122 clinicians in this Medicare group
NPI 1265966048 (309) 672-5522
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
St. Mary Medical Center
43 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
Osf Healthcare System
57 mi
Critical Access
1000 W HARLEM AVE
Monmouth, IL 61462
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
NPI 1548393184 (309) 734-3141
Schuyler County Hospital District
65 mi
Critical Access
238 S CONGRESS ST
Rushville, IL 62681
  • Reassigned Medicare billing, Illinois enrollment
  • 72 clinicians in this Medicare group
NPI 1013969112 (217) 322-4321
Memorial Hospital Association
66 mi
Rural Health
110 E MARKET ST
Colchester, IL 62326
  • Reassigned Medicare billing, Illinois enrollment
  • 78 clinicians in this Medicare group
NPI 1699228882 (309) 776-3301
Carle Health Medical Group
83 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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.
233 services215 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.
135 services134 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.
71 services66 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

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

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141333
Location238 South Congress StreetRushville, IL 62681 · Schuyler 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
$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.

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 Sergio Morales's NPI number?

The NPI number for Sergio Morales is 1902096142. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Sergio Morales located?

Sergio Morales practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2553.

What is Sergio Morales's specialty?

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

Is Sergio Morales enrolled in Medicare?

Yes. Sergio Morales 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 Sergio Morales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Morales reassigns Medicare benefits to 8 organizations: Saint Francis Medical Center (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL), Osf Multi-Specialty Group (Peoria, IL), St. Mary Medical Center (Abingdon, IL), Osf Healthcare System (Monmouth, IL) and 3 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 Sergio Morales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Morales accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Sergio Morales 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 Sergio Morales affiliated with any hospitals?

According to CMS data, Sergio Morales is affiliated with Methodist Medical Center Of Illinois and Sarah D Culbertson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Morales was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.