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Active NPI 1871757070 Individual Practitioner Male Practitioner

Dr. Jonathan Charles Roberts , MD

Pediatrics • Peoria, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Roberts, MD is a certified Pediatrics practicing in Peoria, IL. With approximately 18 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2008, Dr. Roberts delivers high-quality medical care to the local community at 427 W NORTHMOOR RD.

Dr. Roberts maintains professional affiliations with The Bleeding And Clotting Disorders Institute, Michael D. Tarantino, M.D. S.C. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, subsequent hospital care with moderate levelof 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

427 W Northmoor Rd

Peoria, IL 616143542

Telephone 3096925337
Fax 3096933913
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +0.7 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

✓ Offers Virtual Consultations

Medicare Pricing Discount
61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roberts (18 Years) 18 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
186 163 $398.11 $172.61
36415 Insertion of needle into vein for collection of blood sample
149 77 $19.58 $8.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
118 35 $286.68 $114.64
85610 Blood test, clotting time
115 23 $35.74 $4.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
70 57 $75.00 $7.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
40 37 $446.14 $166.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
36 36 $502.22 $202.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $293.18 $122.51

Medical Specialties & State Licenses

CMS Verified: 2021-06-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 125.054688

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WI 55876

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.

Pediatrics - Pediatric Emergency Medicine

NUCC Taxonomy Code: 2080P0204X

State License WI 55876

A pediatrician who has special qualifications to manage emergencies in infants and children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1871757070 (WI)

Hospital & Practice Group Affiliations

Michael D. Tarantino, M.d. S.c.

427 W Northmoor Rd, Peoria, IL 616143542

Phone: 3096925337

The Bleeding And Clotting Disorders Institute

427 W Northmoor Rd, Peoria, IL 616143542

Phone: 3096925337

Practice Associates & Co-Workers

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

10 Associated Practitioners
Sara Martin , FNP-BC

Nurse Practitioner - Family

NPI 1063117257

Family Nurse Practitioner (Board Certified)

Teaghan Mihelcic , PA-C

Physician Assistant

NPI 1265193247

Physician Assistant (Certified)

Tiffanny Connolly , PA-C

Physician Assistant

NPI 1346560497

Physician Assistant (Certified)

NPI 1366461139

Master of Physical Therapy, Doctor of Physical Therapy

Kristin Ansteatt , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1396396024

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Michael Tarantino , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1396731063

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 30, 2021

Registered at 427 W NORTHMOOR RD, PEORIA, IL 616143542 (Tel: 3096925337)

📍
Updated Business Mailing Address July 30, 2021

Registered at 427 W NORTHMOOR RD, PEORIA, IL 616143542 (Tel: 3096925337)

NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2015

Registered at 9128 N LINDBERGH DR, PEORIA, IL 616151422 (Tel: 3096925337)

📍
Updated Business Mailing Address November 23, 2015

Registered at 9128 N LINDBERGH DR, PEORIA, IL 616151422 (Tel: 3096925337)

👤
Provider Name / Credentials Updated November 23, 2015

Recorded as JONATHAN ROBERTS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2015

Pediatrics (License #125.054688 in IL)

🟢
Initial NPI Registration & Enumeration July 16, 2008

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: 1871757070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2008
Last Update: July 30, 2021
Sole Proprietor: No

Mailing Address

427 W Northmoor Rd

Peoria, IL 616143542

Phone: 3096925337

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.