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Active NPI 1588153803 Individual Practitioner Male Practitioner

Andrew Clay Kitterman , PA-C

Physician Assistant • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Andrew Kitterman, PA-C is a registered healthcare professional specializing in Physician Assistant in Peoria, IL. Practice services are available at 8940 N WOOD SAGE RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8940 N Wood Sage Rd

Peoria, IL 616157822

Telephone 3092433000
Fax 3092433040
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
96 Specialists

Practicing in Peoria, IL (4958 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.3% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
25 25 $495.40 $137.08
72110 X-ray of lower and sacral spine, minimum of 4 views
19 19 $224.10 $40.77

Medical Specialties & State Licenses

CMS Verified: 2026-07-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085006627

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Debra Beach , APN

Clinical Nurse Specialist

NPI 1013945849

Advanced Practice Nurse

Dr. Jijun Liu , MD

Internal Medicine - Hematology & Oncology

NPI 1043474042

Doctor of Medicine (M.D.)

Dr. Paul Fishkin , MD

Internal Medicine - Hematology & Oncology

NPI 1063411379

Doctor of Medicine (M.D.)

Dr. Pankaj Kumar , MD

Internal Medicine - Hematology & Oncology

NPI 1073576922

Doctor of Medicine (M.D.)

Dr. John Kugler , MD

Internal Medicine - Hematology & Oncology

NPI 1083613947

Doctor of Medicine (M.D.)

Jessica Stewart , CNS

Clinical Nurse Specialist

NPI 1104103670

Clinical Nurse Specialist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 20, 2026

Registered at 8940 N WOOD SAGE RD, PEORIA, IL 616157822 (Tel: 3092433000)

📍
Updated Business Mailing Address July 20, 2026

Registered at 8940 N WOOD SAGE RD, PEORIA, IL 616157822 (Tel: 3092433000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2026

Physician Assistant (License #085006627 in IL)

NPI Profile Active May 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2018

Registered at 2819 SAINT ANDREWS BLVD, TARPON SPRINGS, FL 346886314 (Tel: 7813070495)

📍
Updated Business Mailing Address May 02, 2018

Registered at 2819 SAINT ANDREWS BLVD, TARPON SPRINGS, FL 346886314

👤
Provider Name / Credentials Updated May 02, 2018

Recorded as ANDREW KITTERMAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 02, 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: 1588153803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2018
Last Update: July 20, 2026
Sole Proprietor: Yes

Mailing Address

8940 N Wood Sage Rd

Peoria, IL 616157822

Phone: 3092433000

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.