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Active NPI 1912473273 Individual Practitioner Female Practitioner

Tien T Pham , APN, CNP

Nurse Practitioner • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tien Pham, APN, CNP is a certified Nurse Practitioner practicing in Peoria, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Tien Pham delivers high-quality medical care to the local community at 5405 N KNOXVILLE AVE.

Tien Pham is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, vaccine for influenza for injection into muscle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5405 N Knoxville Ave

Peoria, IL 616145016

Telephone 3095892050
Fax 3096924730
Associated Practice Facility / Clinic
🏢 Cardiosom, Llc Facility NPI 1407073182

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.1 yrs vs City Avg
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
55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pham (9 Years) 9 Yrs
Peoria Specialty Average (10.1 Years) 10.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
290 264 $294.00 $103.86
99213 Established patient office or other outpatient visit, typically 15 minutes
176 164 $208.00 $73.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
118 115 $129.00 $45.72
G0008 Administration of influenza virus vaccine
16 16 $33.94 $31.15
90653 Vaccine for influenza for injection into muscle
15 15 $75.00 $73.50

Medical Specialties & State Licenses

CMS Verified: 2025-05-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017737

(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.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

5405 N Knoxville Ave, Peoria, IL 616145065

Phone: 3096914410

Secondary Practice Locations

1127 W Glen Ave

Peoria, IL 616144865

Phone: 3099169100

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Christine Perks , MD

Internal Medicine - Cardiovascular Disease

NPI 1033383070

Doctor of Medicine (M.D.)

Dr. Vijayasree Paleru , MD

Internal Medicine - Cardiovascular Disease

NPI 1043417819

Doctor of Medicine (M.D.)

Michael Grzeskowiak

Internal Medicine - Cardiovascular Disease

NPI 1215469218
Dr. Carlos Requena Armas , MD

Internal Medicine - Interventional Cardiology

NPI 1225478639

Doctor of Medicine (M.D.)

Dr. Linh Ngo Khanh , MD

Surgery - Vascular Surgery

NPI 1245605732

Doctor of Medicine (M.D.)

Dr. Rebecca Baumann , MD

Internal Medicine - Cardiovascular Disease

NPI 1275797078

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 October 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2018

Registered at 5405 N KNOXVILLE AVE, PEORIA, IL 616145016 (Tel: 3095892050)

📍
Updated Business Mailing Address October 15, 2018

Registered at 5405 N KNOXVILLE AVE, PEORIA, IL 616145016 (Tel: 3095892050)

👤
Provider Name / Credentials Updated October 15, 2018

Recorded as TIEN PHAM, APN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Nurse Practitioner (License #209017737 in IL)

🟢
Initial NPI Registration & Enumeration October 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912473273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2018
Last Update: May 07, 2025
Sole Proprietor: Yes

Mailing Address

5405 N Knoxville Ave

Peoria, IL 616145016

Phone: 3095892050

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.