DR. BAN GIA TRUONG (D.O., PHD) – Emergency Medicine Physician, NPI 1396955266
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
212 GENERAL PRACTICE in IL
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Provider Addresses for DR. BAN GIA TRUONG (D.O., PHD)
4207, West Hollow Creek Drive, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 616155635
Phone: (916) 425-6959
Type: Mailing
Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States
PEORIA, IL 616370001
Phone: (309) 655-6710
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: 2008-11-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081117000746 | I | General Practice | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 167 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 153 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 50 | 40 | $0 |
| 97129 | Therapy procedure for a range of mental processes, initial 15 minutes | 48 | 48 | $0 |
Insurance plans in this area (ZIP 61615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | IL | 73630 | X-ray of foot, minimum of 3 views | 17 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine, Emergency Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA |
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