Active NPI 1093885378 Individual Practitioner Male Practitioner

Dr. Mark Alan Smith , DPM

Podiatrist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Smith, DPM is a registered healthcare professional specializing in Podiatrist in Peoria, IL. Practice services are available at 3322 W WILLOW KNOLLS DR under active NPI credentials.

Frequently performed procedures and clinical services include trimming of dystrophic nails, any number, removal of noncancer thickened skin growth, 2-4 growths, trimming of fingernails or toenails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3322 W Willow Knolls Dr

Peoria, IL 61614

Telephone 3096915800

Fax 3096911336

Associated Practice Facility / Clinic

🏢 Justin R. Ahlman, M.d. Facility NPI 1518387109

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 37.0 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Peoria, IL (647 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.9% 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
G0127 Trimming of dystrophic nails, any number	206	177	$65.00	$14.05
11056 Removal of noncancer thickened skin growth, 2-4 growths	145	124	$152.00	$77.09
11719 Trimming of fingernails or toenails	59	54	$65.00	$9.69
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$200.00	$86.98
11055 Removal of single thickened skin growth	22	22	$127.00	$67.15
11057 Removal of noncancer thickened skin growth, more than 4 growths	18	16	$179.00	$84.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11056 Removal of noncancer thickened skin growth, 2-4 growths	798	274	$146.98	$78.47
G0127 Trimming of dystrophic nails, any number	782	280	$60.08	$11.55
11719 Trimming of fingernails or toenails	251	80	$60.12	$7.94
99213 Established patient office or other outpatient visit, typically 15 minutes	187	125	$190.47	$88.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	164	27	$11.00	$1.14
11042 Removal of skin and tissue, 20.0 sq cm or less	120	26	$594.25	$125.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	36	$190.52	$67.90
11055 Removal of single thickened skin growth	90	32	$122.00	$68.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$264.43	$109.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	56	$267.85	$124.32
11057 Removal of noncancer thickened skin growth, more than 4 growths	68	23	$173.97	$86.65
73630 X-ray of foot, minimum of 3 views	34	27	$203.00	$31.18
20550 Injection into tendon or ligament	16	13	$317.00	$52.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,199	357	$57.35	$11.52
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,131	338	$137.12	$76.07
99213 Established patient office or other outpatient visit, typically 15 minutes	320	182	$172.38	$89.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	212	32	$11.00	$1.25
11042 Removal of skin and tissue, 20.0 sq cm or less	157	20	$556.15	$123.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$257.86	$110.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	34	$187.41	$70.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	51	$266.00	$125.44
73630 X-ray of foot, minimum of 3 views	73	46	$194.34	$30.83
11057 Removal of noncancer thickened skin growth, more than 4 growths	71	25	$163.70	$83.97
11719 Trimming of fingernails or toenails	55	53	$58.93	$7.82
11055 Removal of single thickened skin growth	41	18	$115.29	$66.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	15	$101.29	$37.81
73620 X-ray of foot, 2 views	25	13	$165.00	$25.72
20550 Injection into tendon or ligament	25	17	$310.40	$49.81
97597 Removal of tissue from wound, 20.0 sq cm or less	20	12	$487.50	$96.39
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$174.00	$71.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$386.55	$165.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,183	380	$55.54	$11.33
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,066	345	$109.52	$69.80
99213 Established patient office or other outpatient visit, typically 15 minutes	349	168	$160.89	$72.93
11042 Removal of skin and tissue, 20.0 sq cm or less	310	34	$532.70	$121.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	168	25	$11.00	$1.47
73630 X-ray of foot, minimum of 3 views	85	58	$184.68	$29.20
11057 Removal of noncancer thickened skin growth, more than 4 growths	79	28	$124.41	$77.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$250.68	$104.59
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$174.00	$74.43
97597 Removal of tissue from wound, 20.0 sq cm or less	62	19	$441.85	$93.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	48	$104.40	$44.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	22	$251.16	$106.37
11055 Removal of single thickened skin growth	42	17	$90.67	$60.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	13	$101.46	$39.47
28285 Correction of toe joint deformity	18	16	$2578.44	$360.59
20550 Injection into tendon or ligament	17	12	$302.71	$52.93
11750 Permanent removal fingernail or toenail	15	14	$677.40	$152.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,342	366	$53.51	$11.39
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,213	345	$92.60	$62.85
99213 Established patient office or other outpatient visit, typically 15 minutes	413	181	$153.59	$71.79
11042 Removal of skin and tissue, 20.0 sq cm or less	261	36	$500.45	$115.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	236	40	$11.00	$1.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	133	$242.25	$105.28
73630 X-ray of foot, minimum of 3 views	106	78	$169.97	$28.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	60	$97.92	$43.33
11057 Removal of noncancer thickened skin growth, more than 4 growths	69	23	$104.17	$70.84
11055 Removal of single thickened skin growth	60	21	$75.67	$53.19
97597 Removal of tissue from wound, 20.0 sq cm or less	54	23	$400.44	$83.97
20550 Injection into tendon or ligament	31	20	$302.00	$51.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	12	$181.41	$71.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	15	$242.46	$105.30
28285 Correction of toe joint deformity	17	12	$2519.76	$299.74
64455 Injection of anesthetic and/or steroid drug into foot nerve	14	12	$272.86	$52.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,171	347	$82.95	$55.10
G0127 Trimming of dystrophic nails, any number	782	325	$51.78	$11.63
11719 Trimming of fingernails or toenails	503	269	$33.54	$6.92
99213 Established patient office or other outpatient visit, typically 15 minutes	395	195	$146.06	$70.41
11042 Removal of skin and tissue, 20.0 sq cm or less	233	43	$449.01	$111.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	164	28	$11.00	$1.77
97597 Removal of tissue from wound, 20.0 sq cm or less	152	41	$311.91	$78.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$235.13	$103.78
73630 X-ray of foot, minimum of 3 views	115	79	$146.91	$26.39
11057 Removal of noncancer thickened skin growth, more than 4 growths	78	38	$95.26	$63.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$95.81	$42.13
11055 Removal of single thickened skin growth	36	29	$64.11	$45.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	25	$225.50	$103.84
73620 X-ray of foot, 2 views	21	12	$145.29	$23.80
20550 Injection into tendon or ligament	19	14	$282.30	$52.16
11750 Permanent removal fingernail or toenail	15	14	$613.93	$147.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11719 Trimming of fingernails or toenails	1,292	331	$15.00	$6.82
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,099	301	$59.00	$54.53
97597 Removal of tissue from wound, 20.0 sq cm or less	319	40	$177.08	$70.40
99213 Established patient office or other outpatient visit, typically 15 minutes	296	156	$130.86	$70.19
11055 Removal of single thickened skin growth	118	39	$48.00	$45.02
11042 Removal of skin and tissue, 20.0 sq cm or less	103	39	$246.02	$109.75
11042 Removal of skin and tissue, 20.0 sq cm or less	101	14	$246.02	$58.24
11057 Removal of noncancer thickened skin growth, more than 4 growths	96	27	$67.00	$62.31
73630 X-ray of foot, minimum of 3 views	89	64	$32.35	$27.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$209.61	$103.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	21	$170.04	$71.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	58	$102.41	$41.68
99213 Established patient office or other outpatient visit, typically 15 minutes	65	15	$130.86	$50.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	15	$189.65	$77.41
20550 Injection into tendon or ligament	30	17	$175.33	$50.46
28285 Correction of toe joint deformity	22	13	$1351.26	$313.67
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$160.95	$69.78
11750 Permanent removal fingernail or toenail	17	13	$382.95	$137.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$189.65	$103.48

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License IL 016004790

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

016004790 (IL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

0007215174 (IL)

Commercial Insurance / Payer ID Medicare Provider

928270 (IL)

Commercial Insurance / Payer ID Railroad Medicare

480022534 (IL)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Muhammad Burhan , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1154985356

Doctor of Podiatric Medicine

Dr. Thomas Brattain , DPM

Podiatrist

NPI 1285613463

Doctor of Podiatric Medicine

Hannan Zahid

Podiatrist - Foot & Ankle Surgery

NPI 1437611720

Dr. Kishan Patel , DPM

Podiatrist

NPI 1689569667

Doctor of Podiatric Medicine

Dr. Leandre Kennedy , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1962286518

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2009

Registered at 3322 W WILLOW KNOLLS DR, PEORIA, IL 61614 (Tel: 3096915800)

📍

Updated Business Mailing Address December 03, 2009

Registered at 3322 W WILLOW KNOLLS DR, PEORIA, IL 61614 (Tel: 3096915800)

👤

Provider Name / Credentials Updated December 03, 2009

Recorded as MARK SMITH, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2009

Podiatrist (License #016004790 in IL)

🟢

Initial NPI Registration & Enumeration November 08, 2006

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: 1093885378

Entity Type:

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

Enumeration Date: November 08, 2006

Last Update: December 03, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3322 W Willow Knolls Dr

Peoria, IL 61614

Phone: 3096915800

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.