Physician Profile
Unclaimed ProfileAbout SODERSTROM
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Education & Training
Areas of Expertise
Common questions
What kind of doctor is Dr. Soderstrom?
Dr. Soderstrom is a physician assistant in Peoria, IL. This is the primary taxonomy recorded against the NPI in the federal registry, listed there as “PHYSICIAN ASSISTANT”.
NPI registry
What is Dr. Soderstrom's address?
Dr. Soderstrom is listed at 4909 N GLEN PARK PLACE RD, Peoria, IL 61614. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Dr. Soderstrom?
The number on file is (309) 674-7546. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is the NPI for Dr. Soderstrom?
Dr. Soderstrom's National Provider Identifier is 1871506931. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Dr. Soderstrom train?
Dr. Soderstrom attended Other, graduating in 2006. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Dr. Soderstrom have?
Dr. Soderstrom has 20 years experience. Calculated from a graduation year of 2006, reported in the CMS National Downloadable File.
CMS public data
What procedures does Dr. Soderstrom perform?
According to Medicare billing data, Dr. Soderstrom performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of precancer skin growth, 1 growth and destruction of precancer skin growth, 15 or more growths; provides treatments such as injection of drug or substance under skin or into muscle, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Dr. Soderstrom's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Soderstrom. If this is you, claiming it is free.
Guide.md
Licensing & Certification
Source: NPPES NPI Registry
Contact Information
- (309) 674-7546
- Email not available
Practice Locations
4909 N GLEN PARK PLACE RD
Peoria, IL 61614
Procedures Most Often Billed to Medicare
12,101 services · 4,294 patients · 23 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Destruction of precancer skin growth, 2-14 growths | Procedure | 17003 |
6,506 |
| Destruction of precancer skin growth, 1 growth | Procedure | 17000 |
1,239 |
| Destruction of precancer skin growth, 15 or more growths | Procedure | 17004 |
370 |
| Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | Procedure | 11311 |
212 |
| Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | Procedure | 11301 |
209 |
| Destruction of skin growth, 1-14 growths | Procedure | 17110 |
170 |
| Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm | Procedure | 11306 |
83 |
| Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm | Procedure | 11302 |
58 |
| Removal of skin tag, 1-15 skin tags | Procedure | 11200 |
50 |
| Injection into skin growth, 1-7 growths | Procedure | 11900 |
49 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other physician assistants at this location 3
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 4
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 31 related providers in 4 groups
Other physician assistants in Peoria 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2006 at Other 7
Providers who graduated from the same medical school in the same year.
Also performs Destruction of precancer skin growth, 2-14 growths 8
Providers in IL who bill this service to Medicare most often.
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.