Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740843127 Individual Practitioner Male Practitioner

Dr. Jackson Graves , MD

Pediatrics • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Graves, MD is a certified Pediatrics practicing in Peoria, IL. With approximately 7 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2019, Dr. Graves delivers high-quality medical care to the local community at 530 NE GLEN OAK AVE.

Dr. Graves is affiliated with The Board Of Trustees Of The University Of Illinois and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552000
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -10.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graves (7 Years) 7 Yrs
Peoria Specialty Average (17.3 Years) 17.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
108 44 $192.11 $76.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
102 39 $277.64 $114.83
99238 Hospital discharge day management, 30 minutes or less
28 27 $200.82 $77.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
20 20 $451.60 $167.62

Medical Specialties & State Licenses

CMS Verified: 2024-02-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036.162138

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036.162138

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

The Board Of Trustees Of The University Of Illinois

1 Illini Dr, Peoria, IL 616052576

Phone: 3096718484

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Deepak Nair , MD

Psychiatry & Neurology - Neurology

NPI 1003019209

Doctor of Medicine (M.D.)

NPI 1003556580

Doctor of Medicine (M.D.)

Dr. Thomas Blackwell , MD

Student in an Organized Health Care Education/Training Program

NPI 1003666421

Doctor of Medicine (M.D.)

Jacob Clark

Physician Assistant - Medical

NPI 1013614304
NPI 1013647965

Doctor of Osteopathic Medicine (D.O.)

Mark Morris , NP

Nurse Practitioner - Acute Care

NPI 1023237476

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address February 28, 2024

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 2179715748)

👤
Provider Name / Credentials Updated February 28, 2024

Recorded as JACKSON GRAVES, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2024

Internal Medicine (License #036.162138 in IL)

NPI Profile Active April 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2019

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)

📍
Updated Business Mailing Address April 21, 2019

Registered at 1904 S STATE ST, SPRINGFIELD, IL 627044016

👤
Provider Name / Credentials Updated April 21, 2019

Recorded as JACKSON GRAVES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2019

Student in an Organized Health Care Education/Training Program (License #90200000X in IL)

🟢
Initial NPI Registration & Enumeration April 21, 2019

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: 1740843127
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2019
Last Update: February 28, 2024
Sole Proprietor: Yes

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 2179715748

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.