STEVEN R EVELHOCH MD - NPI 1972667160 - Oral & Maxillofacial Surgery in Peoria, IL

Q: What is Steven Evelhoch's NPI number?

The NPI number for Steven Evelhoch is 1972667160. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is Steven Evelhoch's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Steven Evelhoch was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Steven R Evelhoch Md NPPES

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

STEVEN R EVELHOCH MD (NPI 1972667160) is an individual oral & maxillofacial surgery provider in Peoria, Illinois, licensed in Illinois (036170882) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972667160

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameSTEVEN R EVELHOCHCredential: MD

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-4012 · Fax (309) 624-3323

Phone(309) 624-4012

Fax(309) 624-3323

Sole ProprietorNo

Enumeration DateDecember 21, 2006

Last NPPES UpdateApril 14, 20264 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1972667160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in IL · 036170882✔ Licensed in TN · 43784✔ Licensed in MN · S16✔ Licensed in IA · 37013

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 9125 (TN), 08452 (IA), 3558 (WI)

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 42940-20 (WI)

Also ListedPlastic SurgeryTaxonomy 208200000X · License 58017 (MN)

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 37013 (IA), 43784 (TN)

530 NE GLEN OAK AVE, Peoria, IL 61637

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Secondary Practice Locations 3

Location 1545 E Johnson StFond Du Lac, WI 54935-2856 · Phone (920) 924-9090

Location 2752 N High Point RdMadison, WI 53717 · Phone (608) 824-4000 · Fax (608) 824-4868

Location 3855 Mankato AveWinona, MN 55987-4868 · Phone (507) 454-3680

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven R Evelhoch Md 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.

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.

MISS CARA L PHILLIPS PHARMD

Pharmacist