Active NPI 1053662783 Individual Practitioner Male Practitioner

Edward E Etherton , NP

Nurse Practitioner • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Edward Etherton, NP is a registered healthcare professional specializing in Nurse Practitioner in Peoria, IL. Practice services are available at 1701 W GARDEN ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, nursing facility discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 W Garden St

Peoria, IL 616053531

Telephone 3096807600

Fax 3096807637

Associated Practice Facility / Clinic

🏢 Heartland Community Health Clinic Facility NPI 1336193861

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.1 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

182 Specialists

Practicing in Peoria, IL (4929 Statewide)

Telehealth Adoption Rate

29.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	186	81	$166.00	$57.88
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	150	91	$218.00	$76.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	34	$166.00	$58.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	45	37	$218.00	$76.41
99315 Nursing facility discharge day management, 30 minutes or less	34	32	$175.00	$61.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	148	94	$219.00	$76.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	131	58	$219.00	$75.71
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	88	35	$310.00	$108.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	81	58	$165.00	$57.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	67	37	$165.00	$57.34
99315 Nursing facility discharge day management, 30 minutes or less	23	22	$176.00	$61.25
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	20	15	$202.00	$70.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	82	42	$283.90	$107.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	81	48	$201.22	$76.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	50	31	$161.90	$57.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	15	$198.47	$76.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	41	28	$153.00	$75.98
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	28	18	$216.00	$107.23
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	25	18	$136.00	$70.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	22	20	$153.00	$75.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	14	$108.00	$57.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	11	11	$108.00	$57.47

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-009512

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sarah Koscica , MD

Family Medicine

NPI 1003814625

Doctor of Medicine (M.D.)

Dr. Ann Parkin-Cohen , MD

Pediatrics

NPI 1033405469

Doctor of Medicine (M.D.)

Marcus Mutidjo , APN

Nurse Practitioner - Family

NPI 1063825446

Advanced Practice Nurse

Dr. M. Fraser , MD

Psychiatry & Neurology - Neurology

NPI 1093928566

Doctor of Medicine (M.D.)

Madeline Gresham , WHNP

Nurse Practitioner - Women's Health

NPI 1124748009

Women's Health Nurse Practitioner

Dr. John Mihelcic , MD

Family Medicine

NPI 1134582521

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2013

Registered at 1701 W GARDEN ST, PEORIA, IL 616053531 (Tel: 3096807600)

📍

Updated Business Mailing Address November 18, 2013

Registered at 1701 W GARDEN ST, PEORIA, IL 616053531 (Tel: 3096807600)

👤

Provider Name / Credentials Updated November 18, 2013

Recorded as EDWARD ETHERTON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2013

Nurse Practitioner (License #209-009512 in IL)

🟢

Initial NPI Registration & Enumeration September 20, 2012

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 Edward Etherton. 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: 1053662783

Entity Type:

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

Enumeration Date: September 20, 2012

Last Update: November 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1701 W Garden St

Peoria, IL 616053531

Phone: 3096807600

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.