DR. ANTHONY V DECEANNE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1083613293

DR. ANTHONY V DECEANNE (DPM) is a healthcare provider. based in Peoria, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016004489 (IL). The NPI Number for DR. ANTHONY V DECEANNE (DPM) is 1083613293

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY V DECEANNE (DPM)
NPI
1083613293
Phone
(309) 689-8859
Address
435 W DETWEILLER DR
Enumeration Date
19 July 2005
Last Update Date
29 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096911589
Graduation Year
1988 (38 years ago)
PAC ID
8426056508
Professional Enrollment ID
I20100728000513
Address ID
IL616144677PE5017XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

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Provider Addresses for DR. ANTHONY V DECEANNE (DPM)

  • 435, West Detweiller Drive, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616152116

    Phone: (309) 689-8859

    Type: Mailing

  • 5017, North Glen Park Pl Road, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 616144677

    Phone: (309) 691-1589

    Fax: (309) 692-2032

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $3,479.

Total Amount is formed as General ($3,479) + Research ($0) + Ownership ($0) = $3,479.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,078).

Total Amount

$3,479

General + Research + Ownership

Payments

105

Total payment records

General Amount

$3,479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2010-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100728000513IPodiatryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes963238$0
73630X-ray of foot, minimum of 3 views573166$0
99214Established patient office or other outpatient visit, 30-39 minutes331138$0
17110Destruction of skin growth, 1-14 growths21448$0
97597Removal of tissue from wound, 20.0 sq cm or less20735$0
View full utilization report →

Insurance plans in this area (ZIP 61615)

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Provider's Procedures

DR. ANTHONY V DECEANNE (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL93922Ultrasound study of arteries of both arms and legs1511

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ANTHONY V DECEANNE (DPM)?
NPI 1083613293 is assigned to DR. ANTHONY V DECEANNE (DPM) under the national enumeration system.
Is DR. ANTHONY V DECEANNE (DPM)'s NPI currently valid?
The extract we use shows DR. ANTHONY V DECEANNE (DPM) as active.
What kind of provider is DR. ANTHONY V DECEANNE (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for DR. ANTHONY V DECEANNE (DPM). Clinical services aligned with this taxonomy classification.
Does DR. ANTHONY V DECEANNE (DPM) practice in Illinois?
You will see Peoria, Illinois on file for DR. ANTHONY V DECEANNE (DPM) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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