ZACHARY ARTHUR MIKSANEK – Emergency Medicine Physician, NPI 1316351315

ZACHARY ARTHUR MIKSANEK is a healthcare provider. based in Peoria, Illinois. specializing in Emergency Medicine Physician. They hold a License No. 036141510 (IL). The NPI Number for ZACHARY ARTHUR MIKSANEK is 1316351315

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY ARTHUR MIKSANEK
NPI
1316351315
Phone
(309) 655-7257
Address
530 NE GLEN OAK AVE
Enumeration Date
17 June 2014
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3093438131
Graduation Year
2014 (12 years ago)
PAC ID
1153642889
Group Practice PAC ID
4688003957
Professional Enrollment ID
I20161123000021

Contacts

Secure Messaging
zmiksanek14219@sih.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

Provider Addresses for ZACHARY ARTHUR MIKSANEK

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-7257

    Type: Mailing

  • 2 S Hospital Dr

    Murphysboro, IL 629663333

    Phone: (618) 684-3156

    Type: Location

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Type: Location

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-11-23

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
I20161123000021IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making231231$0
99284Emergency department visit with moderate level of medical decision making196190$0
99283Emergency department visit with low level of medical decision making7370$0
99291Critical care, first 30-74 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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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: 4688003957View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineLA
Family PracticeIL
Internal Medicine, Preventive Medicine, Emergency MedicineIL
Internal Medicine, Emergency MedicineIL
Emergency Medicine, Internal MedicineIL
-TX
-MD
Family PracticeIL
Emergency Medicine, Pediatric MedicineMO

Reviews

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Frequently asked questions

What is ZACHARY ARTHUR MIKSANEK's NPI number?
ZACHARY ARTHUR MIKSANEK's NPI is 1316351315 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ZACHARY ARTHUR MIKSANEK?
For scheduling context, ZACHARY ARTHUR MIKSANEK is shown as active in the registry.
What expertise is attributed to ZACHARY ARTHUR MIKSANEK?
ZACHARY ARTHUR MIKSANEK's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is ZACHARY ARTHUR MIKSANEK registered?
Use Peoria, Illinois as the headline location for ZACHARY ARTHUR MIKSANEK here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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