DR. HORACE PEI LO (M.D.) – Surgery Physician, NPI 1114988466

DR. HORACE PEI LO (M.D.) is a healthcare provider. based in Breese, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 39102-020 (WI). The NPI Number for DR. HORACE PEI LO (M.D.) is 1114988466

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. HORACE PEI LO (M.D.)
NPI
1114988466
Phone
(618) 526-8430
Address
9515 Holy Cross Ln
Enumeration Date
28 March 2006
Last Update Date
9 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9203246800
Graduation Year
1996 (30 years ago)
PAC ID
4688673395
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20061206000564
Address ID
WI539631702WA608XXSTXX400

Contacts

Secure Messaging
hlo394937@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,423 GENERAL SURGERY in IL

Provider Addresses for DR. HORACE PEI LO (M.D.)

  • 9515 Holy Cross Ln

    Breese, IL 622303618

    Phone: (618) 526-8430

    Fax: (618) 526-7275

    Type: Location

  • Audiology and Hearing Aid Center, 225, Memorial Drive, City of Berlin, Green Lake County, Wisconsin, 54923, United States

    BERLIN, WI 549231243

    Phone: (920) 361-5340

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $2,984.

Total Amount is formed as General ($2,984) + Research ($0) + Ownership ($0) = $2,984.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Integra LifeSciences Corporation ($2,489).

Total Amount

$2,984

General + Research + Ownership

Payments

16

Total payment records

General Amount

$2,984

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

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: 2023-06-22

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
I20061206000564IGeneral SurgeryWITBD
I20230622001831IGeneral SurgeryILTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2727$0
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery1818$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 62230)

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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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

What number should I use to identify DR. HORACE PEI LO (M.D.) for billing?
Administrative and clinical systems typically use NPI 1114988466 for DR. HORACE PEI LO (M.D.).
Does the public listing show DR. HORACE PEI LO (M.D.) as active?
DR. HORACE PEI LO (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. HORACE PEI LO (M.D.)'s specialty?
The extract shows Surgery Physician for DR. HORACE PEI LO (M.D.). Clinical services aligned with this taxonomy classification.
Is DR. HORACE PEI LO (M.D.) tied to Breese, Illinois?
If you are local to Breese, Illinois, DR. HORACE PEI LO (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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