JESSICA L SECOR (M.D.) – Vascular Surgery Physician, NPI 1164700183

JESSICA L SECOR (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 36140614 (IL). The NPI Number for JESSICA L SECOR (M.D.) is 1164700183

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA L SECOR (M.D.)
NPI
1164700183
Phone
(309) 495-0250
Address
7725 N KNOXVILLE AVE
Enumeration Date
25 July 2011
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
5058411000
Graduation Year
2011 (15 years ago)
PAC ID
8022231802
Group Practice PAC ID
7214831114
Professional Enrollment ID
I20210901001226
Address ID
NM871022512AL502XXNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

240 VASCULAR SURGERY in IL

Provider Addresses for JESSICA L SECOR (M.D.)

  • 7725 N KNOXVILLE AVE

    PEORIA, IL 616142079

    Phone: (309) 495-0250

    Fax: (309) 689-9035

    Type: Location

  • 7725 N Knoxville Ave

    Peoria, IL 616142079

    Phone: (309) 495-0250

    Fax: (309) 689-9035

    Type: Location

  • 502 ELM ST NE

    ALBUQUERQUE, NM 871022512

    Phone: (505) 841-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $3,860.

Total Amount is formed as General ($3,860) + Research ($0) + Ownership ($0) = $3,860.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,824).

Total Amount

$3,860

General + Research + Ownership

Payments

101

Total payment records

General Amount

$3,860

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-09-01

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
I20160623001451IVascular SurgeryILTBD
I20210901001226IVascular SurgeryNMTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13195$0
93880Ultrasound of both sides of head and neck blood flow111106$0
93925Ultrasound of leg arteries or artery grafts10997$0
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts5754$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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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: 7214831114View full group profile
NameSpecialtyState
N E U R O L O G YNM
Nurse PractitionerNM
Physician AssistantNM
General SurgeryNM
-NM
-NM
-NM
Cardiovascular Disease (Cardiology)NM
Family PracticeNM
Family PracticeNM

Reviews

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Frequently asked questions

Can I verify JESSICA L SECOR (M.D.) with an NPI only?
You can start verification with NPI 1164700183 for JESSICA L SECOR (M.D.), then check state licensing separately.
Is JESSICA L SECOR (M.D.) still practicing?
JESSICA L SECOR (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does JESSICA L SECOR (M.D.) hold?
Scheduling teams often label JESSICA L SECOR (M.D.) under Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is JESSICA L SECOR (M.D.) based?
JESSICA L SECOR (M.D.) is tied to Peoria, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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