DR. KACEY CAITLYN ZOBRIST (DO) – Pediatrics Physician, NPI 1700377603
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KACEY CAITLYN ZOBRIST (DO)
241, N Oklahoma Avenue, Morton, Tazewell County, Illinois, 61550, United States
MORTON, IL 615502334
Phone: (309) 397-3215
Type: Mailing
Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States
PEORIA, IL 616370001
Phone: (309) 655-2274
Type: Location
530 NE Glen Oak Ave
Peoria, IL 616370001
Phone: (309) 655-2274
Type: Location
PO BOX 19248
SPRINGFIELD, IL 627949248
Phone: (217) 528-7541
Type: Mailing
134 W ADAMS ST
MORTON, IL 615501802
Phone: (217) 528-7541
Fax: (309) 676-6545
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($99).
Total Amount
$133
General + Research + Ownership
Payments
7
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $99 |
| Teva Pharmaceuticals USA, Inc. | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | $17 |
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: 2021-09-23
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 |
|---|---|---|---|---|
| I20210923000582 | I | Pediatric Medicine | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61550)
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