Active NPI 1659667954 Individual Practitioner Female Practitioner

Dr. Katherine Ann Beaudry , MD

Dermatology • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Beaudry, MD is a certified Dermatology practicing in Peoria, IL. With approximately 15 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 2011, Dr. Beaudry delivers high-quality medical care to the local community at 5401 N KNOXVILLE AVE STE 115.

Dr. Beaudry is affiliated with Central Illinois Dermatology Sc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5401 N Knoxville Ave Ste 115

Peoria, IL 616145095

Telephone 3096912903

Associated Practice Facility / Clinic

🏢 Central Illinois Dermatology, S.c. Facility NPI 1548358054

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

2011

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Peoria, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -2.1 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Peoria, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beaudry (15 Years) 15 Yrs

Peoria Specialty Average (17.1 Years) 17.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,461	366	$6.14	$5.77
99213 Established patient office or other outpatient visit, typically 15 minutes	853	685	$87.40	$82.16
17000 Destruction of skin growth	649	484	$52.82	$48.90
11102 Tangential biopsy of single skin lesion	294	252	$85.48	$80.02
17110 Destruction of up to 14 skin growths	287	253	$105.39	$99.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	157	148	$54.01	$50.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$107.22	$100.83
11103 Biopsy of related skin growth, each additional growth	70	47	$45.06	$42.52
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$69.63	$65.35
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	28	$160.36	$148.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,820	369	$6.89	$5.88
99213 Established patient office or other outpatient visit, typically 15 minutes	840	663	$93.82	$82.13
17000 Destruction of skin growth	627	470	$54.91	$48.01
11102 Tangential biopsy of single skin lesion	295	268	$94.11	$82.00
17110 Destruction of up to 14 skin growths	277	237	$114.59	$99.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	165	141	$58.36	$51.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	157	157	$117.05	$103.07
11103 Biopsy of related skin growth, each additional growth	90	66	$48.16	$42.53
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$74.84	$65.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	28	$161.13	$142.10
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$212.83	$186.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,417	327	$7.02	$6.04
99213 Established patient office or other outpatient visit, typically 15 minutes	755	604	$97.06	$83.42
17000 Destruction of skin growth	573	429	$56.08	$48.08
11102 Tangential biopsy of single skin lesion	268	233	$97.59	$83.87
17110 Destruction of up to 14 skin growths	250	218	$119.17	$99.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	110	$60.27	$51.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$120.51	$103.70
11103 Biopsy of related skin growth, each additional growth	76	51	$52.68	$45.41
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$77.78	$66.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	28	$178.03	$148.10
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	15	$142.42	$122.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$24.15	$20.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,778	261	$6.69	$5.82
99213 Established patient office or other outpatient visit, typically 15 minutes	651	537	$97.29	$84.30
17000 Destruction of skin growth	453	365	$59.06	$51.02
17110 Destruction of up to 14 skin growths	201	175	$116.56	$100.67
11102 Tangential biopsy of single skin lesion	130	123	$102.07	$86.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	83	$59.45	$51.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$120.07	$102.75
11103 Biopsy of related skin growth, each additional growth	22	19	$56.98	$46.13
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$80.29	$67.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$180.97	$150.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,182	314	$5.90	$5.41
99213 Established patient office or other outpatient visit, typically 15 minutes	730	572	$75.84	$69.66
17000 Destruction of skin growth	540	401	$53.79	$49.04
17110 Destruction of up to 14 skin growths	231	200	$110.53	$100.00
11102 Tangential biopsy of single skin lesion	179	155	$89.97	$82.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	145	129	$46.11	$41.84
99202 New patient office or other outpatient visit, typically 20 minutes	77	77	$76.79	$69.33
11103 Biopsy of related skin growth, each additional growth	38	26	$53.33	$48.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	21	$22.89	$20.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	16	$167.91	$154.18
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$46.06	$42.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,318	314	$6.08	$5.15
99213 Established patient office or other outpatient visit, typically 15 minutes	786	604	$79.51	$68.02
17000 Destruction of skin growth	579	421	$60.77	$51.89
17110 Destruction of up to 14 skin growths	191	156	$115.91	$98.94
11102 Tangential biopsy of single skin lesion	179	157	$98.32	$83.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	142	$47.94	$40.84
99202 New patient office or other outpatient visit, typically 20 minutes	88	88	$81.67	$69.76
11103 Biopsy of related skin growth, each additional growth	40	33	$56.42	$48.31
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	18	$179.14	$153.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$23.85	$20.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,592	337	$5.40	$4.69
99213 Established patient office or other outpatient visit, typically 15 minutes	761	553	$73.83	$65.08
17000 Destruction of skin growth	633	442	$56.08	$49.22
11100 Biopsy of single growth of skin and/or tissue	256	224	$97.88	$86.27
17110 Destruction of up to 14 skin growths	207	169	$111.68	$97.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	131	$44.22	$38.97
99202 New patient office or other outpatient visit, typically 20 minutes	123	123	$75.99	$66.65
11101 Biopsy of each additional growth of skin and/or tissue	60	44	$33.57	$29.58
17004 Destruction of precancer skin growth, 15 or more growths	25	23	$140.64	$124.76
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	20	$178.12	$152.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,344	234	$5.70	$5.14
99213 Established patient office or other outpatient visit, typically 15 minutes	485	388	$74.12	$66.60
17000 Destruction of skin growth	380	324	$52.24	$47.13
11100 Biopsy of single growth of skin and/or tissue	318	268	$91.15	$82.17
99202 New patient office or other outpatient visit, typically 20 minutes	177	177	$75.80	$68.46
11101 Biopsy of each additional growth of skin and/or tissue	129	93	$33.70	$30.36
17110 Destruction of up to 14 skin growths	125	104	$106.57	$95.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	89	$43.91	$39.60
17004 Destruction of precancer skin growth, 15 or more growths	80	69	$150.80	$135.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	19	$168.49	$151.66
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$173.04	$155.77
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$44.33	$40.12

Medical Specialties & State Licenses

CMS Verified: 2020-04-08

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036136919

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Central Illinois Dermatology Sc

5401 N Knoxville Ave, Peoria, IL 616145068

Phone: 3096912903

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Christopher Kroodsma , MD

Dermatology

NPI 1336230051

Doctor of Medicine (M.D.)

Dr. Harry Stone , MD

Dermatology

NPI 1538250220

Doctor of Medicine (M.D.)

Dr. Jamie Frey , MD

Dermatology

NPI 1639391006

Doctor of Medicine (M.D.)

Dr. Bruce Mclelland , MD

Dermatology

NPI 1689762189

Doctor of Medicine (M.D.)

Rebecca Barrick

Physician Assistant - Surgical

NPI 1952476103

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location April 08, 2020

Registered at 5401 N KNOXVILLE AVE STE 115, PEORIA, IL 616145095 (Tel: 3096912903)

📍

Updated Business Mailing Address April 08, 2020

Registered at 5401 N KNOXVILLE AVE STE 115, PEORIA, IL 616145095 (Tel: 3096912903)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2020

Dermatology (License #036136919 in IL)

✅

NPI Profile Active March 22, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2012

Registered at 920 MADISON AVE STE C50, MEMPHIS, TN 381033493 (Tel: 9014485364)

📍

Updated Business Mailing Address March 22, 2012

Registered at 910 MADISON AVE, MEMPHIS, TN 381033403 (Tel: 9014485364)

👤

Provider Name / Credentials Updated March 22, 2012

Recorded as KATHERINE BEAUDRY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 24, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Katherine Beaudry. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1659667954

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 24, 2011

Last Update: April 08, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5401 N Knoxville Ave Ste 115

Peoria, IL 616145095

Phone: 3096912903

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.