DR. KENNETH B CAMACHO (M.D.) – Gastroenterology Physician, NPI 1750323424
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for DR. KENNETH B CAMACHO (M.D.)
1001 W Main St
SUITE 500A
Peoria, IL 616061276
Phone: (309) 672-4980
Fax: (309) 671-2944
Type: Location
1001, West Main Street, University East, Peoria, Peoria County, Illinois, 61606, United States
SUITE 500A
PEORIA, IL 616061276
Phone: (309) 672-4980
Fax: (309) 671-2944
Type: Location
PO BOX 365
MORTON, IL 615500365
Phone: (309) 672-4980
Fax: (309) 671-2944
Type: Mailing
1301 PLEASANT VALLEY RD STE 401
OWENSBORO, KY 423039774
Phone: (270) 417-7800
Fax: (270) 417-7809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $389.
Total Amount is formed as General ($389) + Research ($0) + Ownership ($0) = $389.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($229).
Total Amount
$389
General + Research + Ownership
Payments
26
Total payment records
General Amount
$389
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $229 |
| Celgene Corporation | $53 |
| Olympus America Inc. | $34 |
| Ferring Pharmaceuticals Inc. | $21 |
| Janssen Biotech, Inc. | $21 |
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: 2023-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060113000186 | I | Gastroenterology | IL | TBD |
| I20230404000296 | I | Internal Medicine | KY | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 136 | 130 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 91 | 91 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 89 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 54 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 61606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | WI | |
| P O D I A T R Y | IL | |
| Hospitalist, Family Practice | TX | |
| Diagnostic Radiology | NY | |
| - | IL |
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