1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Emergency Medicine
  6. NPI Profile

TIMOTHY GRANT RAINES M.D.
NPI 1932305182
Emergency Medicine in Peoria, IL

Active since June 25, 2007PECOS Enrolled
89.55/100
CMS Quality Rating
530 NE GLEN OAK AVE, PEORIA, IL 61603(309) 655-2268 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy Grant Raines M.d. NPPES

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

TIMOTHY GRANT RAINES M.D. (NPI 1932305182) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (125-049400) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932305182
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY GRANT RAINESCredential: M.D.
Location Address530 NE GLEN OAK AVEPeoria, IL 61603-3133
Mailing Address4207 W Hollow Creek DrPeoria, IL 61615-5635 · (765) 278-1323
Phone(309) 655-2268
Sole ProprietorYes
Enumeration DateJune 25, 2007
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1932305182 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 · 125-049400✔ Licensed in IN · 01064696A
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 61603
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 (PECOS)

Timothy Grant Raines M.d. 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 Reassignment

Medicare enrollment records show Timothy Raines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America LLC
123 mi
Emergency Medicine
901 MACARTHUR BLVD
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • 598 clinicians in this Medicare group
NPI 1518623743 (219) 836-1600

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 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.
128 services125 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
99 services96 patients
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.
55 services53 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA CATHERINE CROSS M.D.
Radiology (Diagnostic Radiology)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2000
DR. TOMMY ARIC TRENT D.O.
Emergency Medicine (Emergency Medical Services)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-6710
MRS. ANGIE CHRISTINE ONION
Nurse Practitioner (Neonatal, Critical Care)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2106
WILLIAM GEBHARDS
Counselor (Professional)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-3960
MRS. ANDREA CATHERINE SCHOLL APN
Clinical Nurse Specialist (Adult Health)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2551
DR. TODD RYAN MITCHELL MD
Emergency Medicine
530 NE GLEN OAK AVE, EMERGENCY MEDICINE
PEORIA, IL 61603
Peoria County (309) 655-6710
KIMBERLY A FLANDERS RN
Registered Nurse (Emergency)
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2584
DR. SRIVIDYA REDDY M.B.,B.S
Internal Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 624-9351

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 Raines's NPI number?

The NPI number for Timothy Raines is 1932305182. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Timothy Raines located?

Timothy Raines practices at 530 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (309) 655-2268.

What is Timothy Raines's specialty?

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

Is Timothy Raines enrolled in Medicare?

Yes. Timothy Raines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Raines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Raines reassigns Medicare benefits to Cep America LLC (Munster, IN). The 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 Raines'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 Timothy Raines was last updated on February 17, 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.