DR. DAVID L PORTER (DO) – Diagnostic Radiology Physician, NPI 1316016827

DR. DAVID L PORTER (DO) is a healthcare provider. based in Peoria, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 036-089396 (IL). The NPI Number for DR. DAVID L PORTER (DO) is 1316016827

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID L PORTER (DO)
NPI
1316016827
Phone
(309) 494-9320
Address
401 SW Water St
Enumeration Date
7 November 2006
Last Update Date
19 March 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3092632424
Graduation Year
1989 (37 years ago)
PAC ID
5890607170
Group Practice PAC ID
9436061827
Professional Enrollment ID
I20110616000789
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for DR. DAVID L PORTER (DO)

  • 401 SW Water St

    Peoria, IL 616021571

    Phone: (309) 494-9320

    Type: Location

  • 111 OAKWOOD RD

    EAST PEORIA, IL 616111853

    Phone:

    Type: Mailing

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616371571

    Phone: (309) 655-2000

    Type: Location

  • 10335, North Port Washington Road, Mequon, Ozaukee County, Wisconsin, 53092, United States

    250

    MEQUON, WI 530925763

    Phone:

    Type: Mailing

  • 401, Southwest Water Street, Central Business District, Peoria, Peoria County, Illinois, 61602, United States

    PEORIA, IL 616021571

    Phone: (309) 494-9320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2023-10-14 • Largest payer in this snapshot: Stryker Corporation ($142).

Total Amount

$142

General + Research + Ownership

Payments

1

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$142
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: 2023-06-05

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
I20230605000425IDiagnostic RadiologyFLTBD

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
71046X-ray of chest, 2 views787776$0
71045X-ray of chest, 1 view244230$0
74177Ct scan of abdomen and pelvis with contrast113112$0
70450Ct scan head or brain without contrast10099$0
76770Complete ultrasound scan behind abdominal cavity8686$0
View full utilization report →

Insurance plans in this area (ZIP 61602)

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Provider's Procedures

DR. DAVID L PORTER (DO) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71250CT scan chest6765
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front446332
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views132118
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast174165
DIAGNOSTIC RADIOLOGYIL76830Ultrasound pelvis through vagina2524

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: 9436061827View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyIL
Physician AssistantIL
-IL
Diagnostic RadiologyFL
-IL
Diagnostic RadiologyIL
-IL
-IL
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

What NPI should I save for DR. DAVID L PORTER (DO)?
Save NPI 1316016827 if you need a stable reference for DR. DAVID L PORTER (DO).
Is DR. DAVID L PORTER (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. DAVID L PORTER (DO)'s specialty in plain language?
Clinically, the directory lists DR. DAVID L PORTER (DO) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. DAVID L PORTER (DO) practice in Illinois?
You will see Peoria, Illinois on file for DR. DAVID L PORTER (DO) 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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