JEFFERY P MENDELL (MD) – Diagnostic Radiology Physician, NPI 1629285556

JEFFERY P MENDELL (MD) is a healthcare provider. based in East peoria, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036-113476 (IL). The NPI Number for JEFFERY P MENDELL (MD) is 1629285556

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERY P MENDELL (MD)
NPI
1629285556
Phone
(309) 740-4272
Address
111 OAKWOOD RD
Enumeration Date
17 May 2007
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
1759481625
Group Practice PAC ID
9436061827
Professional Enrollment ID
I20070706000032
Address ID
IL606860052CH5200XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for JEFFERY P MENDELL (MD)

  • 111 OAKWOOD RD

    EAST PEORIA, IL 616111853

    Phone: (309) 740-4272

    Type: Mailing

  • West Court Street, Kankakee, Kankakee County, Illinois, 60901, United States

    KANKAKEE, IL 609013163

    Phone: (815) 935-7525

    Type: Mailing

  • Riverside Medical Center, 350, North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    KANKAKEE, IL 609012991

    Phone: (815) 933-1671

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Terumo Medical Corporation ($29).

Total Amount

$99

General + Research + Ownership

Payments

4

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

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: 2007-07-06

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
I20070706000032IDiagnostic RadiologyILTBD

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
71045X-ray of chest, 1 view406348$0
71046X-ray of chest, 2 views221213$0
70450Ct scan head or brain without contrast212192$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan150127$0
71250Ct scan of chest without contrast131127$0
View full utilization report →

Insurance plans in this area (ZIP 61611)

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Provider's Procedures

JEFFERY P MENDELL (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71250CT scan chest115110
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views11087
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast187179
DIAGNOSTIC RADIOLOGYIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2524
DIAGNOSTIC RADIOLOGYIL77012Radiological supervision and interpretation of CT guidance for needle insertion1515
DIAGNOSTIC RADIOLOGYIL93926Ultrasound study of arteries and arterial grafts of one leg or limited4039
DIAGNOSTIC RADIOLOGYIL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers114113

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

How is JEFFERY P MENDELL (MD) identified in CMS data?
CMS-hosted NPPES data lists JEFFERY P MENDELL (MD) with NPI 1629285556.
Is JEFFERY P MENDELL (MD) still practicing?
JEFFERY P MENDELL (MD) is currently listed as active in the public NPI registry.
What is JEFFERY P MENDELL (MD)'s specialty?
The listing groups JEFFERY P MENDELL (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFERY P MENDELL (MD)?
JEFFERY P MENDELL (MD)'s geographic hint is East Peoria, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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