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Edit this profileAt a glance
- 4909 N Glen Park Place Rd, Peoria, IL 61614
About John Soderstrom
John R. Soderstrom, P.A. is a physician assistant based in Peoria, IL. Medicare claims data shows John provided 12,101 services to 4,294 patients. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and destruction of precancer skin growth, 1 growth. The provider's National Provider Identifier (NPI) is 1871506931.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
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 | Compared with peers |
|---|---|---|---|---|
| Destruction of precancer skin growth, 2-14 growths | Procedure | 17003 |
6,506 | More than most peers in Physician Assistant |
| Destruction of precancer skin growth, 1 growth | Procedure | 17000 |
1,239 | More than most peers in Physician Assistant |
| Destruction of precancer skin growth, 15 or more growths | Procedure | 17004 |
370 | More than most peers in Physician Assistant |
| Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | Procedure | 11311 |
212 | More than most peers in Physician Assistant |
| Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | Procedure | 11301 |
209 | More than most peers in Physician Assistant |
| Destruction of skin growth, 1-14 growths | Procedure | 17110 |
170 | More often than most peers in Physician Assistant |
| Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm | Procedure | 11306 |
83 | More than most peers in Physician Assistant |
| Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm | Procedure | 11302 |
58 | More often than most peers in Physician Assistant |
| Removal of skin tag, 1-15 skin tags | Procedure | 11200 |
50 | More than most peers in Physician Assistant |
| Injection into skin growth, 1-7 growths | Procedure | 11900 |
49 | More than most peers in Physician Assistant |
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 — 30 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 7
Providers in IL who bill this service to Medicare most often.
Common questions
What kind of doctor is John R. Soderstrom?
John R. Soderstrom is a physician assistant in Peoria, IL. That is the designation recorded for this NPI in the federal registry.
NPI registry
What is John R. Soderstrom's address?
John R. 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 John R. Soderstrom?
The number on file is (309) 674-7546. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for John R. Soderstrom?
John R. 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 John R. Soderstrom train?
John R. Soderstrom attended Other, graduating in 2006. This comes from the CMS National Downloadable File.
CMS public data
How much experience does John R. Soderstrom have?
John R. 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 John R. Soderstrom perform?
According to Medicare billing data, John R. 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 John R. Soderstrom's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by John R. Soderstrom. If this is you, claiming it is free.
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