Dr. Fred Erik Braastad , MD
Specialist • Peoria, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Braastad has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Fred Braastad, MD was a registered Specialist practicing in Peoria, IL. Throughout an active medical career spanning 14 years, Dr. Braastad provided care at the practice location at 7303 N KNOXVILLE AVE until profile deactivation on 2019-08-06.
Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
7303 N Knoxville Ave
Peoria, IL 616142017
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Peoria, IL
Practicing in Peoria, IL (1322 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
39 | 39 | $241.00 | $103.49 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
29 | 28 | $152.00 | $71.78 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
16 | 14 | $97.00 | $43.27 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
12 | 12 | $368.00 | $150.99 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
12 | 12 | $337.00 | $135.45 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Surgery - Surgical Critical Care
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 06, 2019
NPI status registered as active in NPPES database
Registered at 7303 N KNOXVILLE AVE, PEORIA, IL 616142017 (Tel: 3096914005)
Registered at 7303 N KNOXVILLE AVE, PEORIA, IL 616142017 (Tel: 3096914005)
Recorded as FRED BRAASTAD, M.D.
Specialist (License #036-074256 in IL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
7303 N Knoxville Ave
Peoria, IL 616142017
Phone: 3096914005
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