DR. MARK STIVERS (M.D.) – Internal Medicine Physician, NPI 1417943523

DR. MARK STIVERS (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 036.141995 (IL). The NPI Number for DR. MARK STIVERS (M.D.) is 1417943523

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK STIVERS (M.D.)
NPI
1417943523
Phone
(309) 689-6093
Address
5401 N KNOXVILLE AVE STE 203
Enumeration Date
23 September 2005
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096623311
Graduation Year
2001 (25 years ago)
PAC ID
1951386184
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20170120002395
Address ID
IL617014364BL2200XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. MARK STIVERS (M.D.)

  • North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616145021

    Phone: (309) 689-6093

    Fax: (309) 524-5599

    Type: Mailing

  • 207 E HAMILTON RD

    BLOOMINGTON, IL 617047527

    Phone: (309) 827-4090

    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: 2017-01-20

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
I20170120002395IInternal 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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5856$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2828$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2720$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2411$0
99239Hospital discharge day management, more than 30 minutes1414$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: 3678889789View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. MARK STIVERS (M.D.) in the U.S.?
In the U.S., DR. MARK STIVERS (M.D.) is identified by NPI 1417943523.
Is DR. MARK STIVERS (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARK STIVERS (M.D.) as active.
What does the directory say DR. MARK STIVERS (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARK STIVERS (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARK STIVERS (M.D.)?
DR. MARK STIVERS (M.D.) is associated with Peoria, Illinois in the same public data insurers reference.
Why is information missing for DR. MARK STIVERS (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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