Active NPI
Matthew L Peecher, MD
- Anesthesiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036097780
- Practice address
- 1025 S 6TH St
Springfield, IL 62703-2499 - Phone
- (217) 528-7541
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 58206 | TN | |
| Anesthesiology Physician | 207L00000X | 036097780 | IL | Primary |
Addresses
Primary practice location
1025 S 6TH St
Springfield, IL 62703-2499
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other practice location 1
701 N 1st St
Springfield, IL 62781-0001
Phone (217) 788-5495
Other practice location 2
110 29th Ave N Ste 200
Nashville, TN 37203
Phone (615) 327-4304
Other practice location 3
110 29th Ave N Ste 200
Nashville, TN 37203
Phone (615) 327-4304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110312000113 | IL | Practitioner - Anesthesiology | 2961684972 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097780 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Terre Haute Anesthesiology LLC | Anesthesiology | Past | Accepting new patients |
| Clinical Radiologists, S.C. | Past | Accepting new patients |
Locations
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
1025 S 6th St
Springfield, IL 62703
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
Interoperability endpoints
- matthew.peecher.1@28977.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 2021 |
| Springfield Clinic Nokomis Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 2021 |
| Springfield Clinic Raymond Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 2021 |
| Springfield Clinic Neoga Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 2021 |
| Springfield Clinic, LLP | Rural health clinic | Limited Partnership Interest | Jan 1, 2021 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Raymond, IL
- NPI 1013255942
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Macomb, IL
- NPI 1730831157
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Neoga, IL
- NPI 1972790889
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Lincoln, IL
- NPI 1518143452
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Nokomis, IL
- NPI 1922285600
Limited Partnership Interest
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1063469252
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1770129066
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1225009152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541",
"fax_number": "615-327-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032499",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "701 N 1st St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627810001",
"country_code": "US",
"telephone_number": "217-788-5495",
"fax_number": "217-788-5496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 29th Ave N Ste 200",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37203",
"country_code": "US",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 29th Ave N Ste 200",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37203",
"country_code": "US",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEECHER",
"first_name": "MATTHEW",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "58206",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036097780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.