PETER P JR. VIENNE (DO) – Obstetrics & Gynecology Physician, NPI 1518962174

PETER P JR. VIENNE (DO) is a healthcare provider. based in Chicago, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 036082983 (IL). The NPI Number for PETER P JR. VIENNE (DO) is 1518962174

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
PETER P JR. VIENNE (DO)
NPI
1518962174
Phone
(630) 469-9200
Address
1860 PAYSHERE CIRCLE
Enumeration Date
20 June 2005
Last Update Date
2 February 2021

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6304699200
Graduation Year
1989 (37 years ago)
PAC ID
7416939467
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20040604000038
Address ID
IL601374464GL430XXAVEX300

Contacts

Secure Messaging
pvienne170756@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for PETER P JR. VIENNE (DO)

  • 1860 PAYSHERE CIRCLE

    CHICAGO, IL 60674

    Phone: (630) 469-9200

    Type: Mailing

  • 936 W US ROUTE 6

    MORRIS, IL 604508858

    Phone: (815) 942-0525

    Fax: (815) 942-3501

    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: 2004-06-04

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
I20040604000038IObstetrics/GynecologyILTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination5858$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3939$0
36415Insertion of needle into vein for collection of blood sample3833$0
80061Blood test, lipids (cholesterol and triglycerides)2825$0
99213Established patient office or other outpatient visit, 20-29 minutes2721$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to PETER P JR. VIENNE (DO)?
NPI 1518962174 is assigned to PETER P JR. VIENNE (DO) under the national enumeration system.
Is PETER P JR. VIENNE (DO) currently active in the NPI registry?
CMS-published data lists PETER P JR. VIENNE (DO) as an active registrant.
What field does PETER P JR. VIENNE (DO) work in?
You can think of PETER P JR. VIENNE (DO) as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does PETER P JR. VIENNE (DO) practice in Illinois?
You will see Chicago, Illinois on file for PETER P JR. VIENNE (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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