Active NPI 1174552681 Individual Practitioner Male Practitioner

Dr. John Kevin Paulsen , MD

Surgery • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Paulsen, MD is a registered healthcare professional specializing in Surgery in Peoria, IL. Practice services are available at 7303 N KNOXVILLE AVE under active NPI credentials.

Frequently performed procedures and clinical services include removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level 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

7303 N Knoxville Ave

Peoria, IL 616142017

Telephone 3096914005

Fax 3096916144

Associated Practice Facility / Clinic

🏢 Associated Surgical Group, Sc Facility NPI 1336255124

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

37 Specialists

Practicing in Peoria, IL (1624 Statewide)

Telehealth Adoption Rate

10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.8% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	13	12	$631.23	$121.18

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	33	32	$173.00	$72.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$329.00	$135.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	19	$95.00	$38.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$237.00	$105.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$94.35	$42.19

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	67	56	$169.79	$71.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	46	$323.61	$135.19
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$159.04	$71.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	34	$92.55	$38.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$91.56	$41.75
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$3307.71	$732.35
49650 Repair of groin hernia using an endoscope	11	11	$2687.73	$494.89

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036050399

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036050399-2 (IL)

Commercial Insurance / Payer ID Bcbs

7215166 (IL)

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Fred Braastad , MD

Specialist

NPI 1003818451

Doctor of Medicine (M.D.)

Jayme Phillips , PA-C

Physician Assistant

NPI 1316331408

Physician Assistant (Certified)

Dr. Jamin Addae , MD

Surgery

NPI 1376906446

Doctor of Medicine (M.D.)

Dr. Christina Kim , MD

Surgery

NPI 1386087518

Doctor of Medicine (M.D.)

Laura Brown

Surgery - Surgical Critical Care

NPI 1699938316

Dr. Gavish Patel , MD

Specialist

NPI 1821080078

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 29, 2016

Registered at 7303 N KNOXVILLE AVE, PEORIA, IL 616142017 (Tel: 3096914005)

📍

Updated Business Mailing Address February 29, 2016

Registered at 7303 N KNOXVILLE AVE, PEORIA, IL 616142017 (Tel: 3096914005)

👤

Provider Name / Credentials Updated February 29, 2016

Recorded as JOHN PAULSEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2016

Surgery (License #036050399 in IL)

🟢

Initial NPI Registration & Enumeration June 30, 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: 1174552681

Entity Type:

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

Enumeration Date: June 30, 2006

Last Update: February 29, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7303 N Knoxville Ave

Peoria, IL 616142017

Phone: 3096914005

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.