PETER JOHN MINICH (MD) – Urology Physician, NPI 1073886438

PETER JOHN MINICH (MD) is a healthcare provider. based in Quincy, Illinois. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. MD00037206 (WA). The NPI Number for PETER JOHN MINICH (MD) is 1073886438

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
PETER JOHN MINICH (MD)
NPI
1073886438
Phone
(217) 222-6550
Address
1025 MAINE ST
Enumeration Date
15 February 2012
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733245300
Graduation Year
1987 (39 years ago)
PAC ID
4981676269
Group Practice PAC ID
8123015518
Professional Enrollment ID
I20250428000275
Address ID
MO633341974BO1015XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

543 UROLOGY in IL

Provider Addresses for PETER JOHN MINICH (MD)

  • 1025 MAINE ST

    QUINCY, IL 623014096

    Phone: (217) 222-6550

    Type: Mailing

  • 3124 S 19TH ST STE 240

    TACOMA, WA 984052433

    Phone: (253) 301-5100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $590.

Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($106).

Total Amount

$590

General + Research + Ownership

Payments

26

Total payment records

General Amount

$590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050822000737IUrologyILTBD
I20250428000275IUrologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9030Bcg live intravesical instillation, 1 mg34211$0
99214Established patient office or other outpatient visit, 30-39 minutes235172$0
99204New patient office or other outpatient visit, 45-59 minutes140140$0
51798Ultrasound measurement of bladder capacity after voiding12190$0
99213Established patient office or other outpatient visit, 20-29 minutes10483$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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Provider's Procedures

PETER JOHN MINICH (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYWA55700Biopsy of prostate gland1515
UROLOGYWA76872Ultrasound of rectum1515
UROLOGYWA81002Urinalysis, manual test348241

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123015518View full group profile
NameSpecialtyState
N E U R O L O G YIL
G A S T R O E N T E R O L O G YMA
-FL
Family PracticeMO
R H E U M A T O L O G YIL
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
Nurse PractitionerMI
Orthopedic SurgeryMO
P O D I A T R YIL
Clinical Social WorkerMO

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Frequently asked questions

What is the standard ID for PETER JOHN MINICH (MD) in the U.S.?
In the U.S., PETER JOHN MINICH (MD) is identified by NPI 1073886438.
Should I treat PETER JOHN MINICH (MD) as an active provider?
Patients and plans typically see PETER JOHN MINICH (MD) as active in the national extract.
What type of care does PETER JOHN MINICH (MD) provide?
PETER JOHN MINICH (MD)'s profile centers on Urology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to PETER JOHN MINICH (MD)?
The directory associates PETER JOHN MINICH (MD) with Quincy, Illinois. Check all listed addresses for suites or satellite offices.
Can I export PETER JOHN MINICH (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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