John Soderstrom, P.A.
NPI 1871506931 · Physician Assistant · Peoria, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Soderstrom, P.A. is a Physician Assistant provider in Peoria, IL (NPI 1871506931).
Provider details
- NPI number
- 1871506931
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
11,827 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 6,506 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 2,226 | $74 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 1,239 | $46 |
| Destruction of Precancer Skin Growth, 15 Or More Growths17004 | 370 | $133 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 242 | $104 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 227 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Triamcinolone Acetonide | 244 | 155 |
| Ketoconazole | 235 | 101 |
| Betamethasone Dipropionate | 152 | 74 |
| Clobetasol Propionate | 84 | 44 |
| Methotrexate Sodiumbrand: Methotrexate | 71 | 16 |
| Minocycline Hcl | 62 | 24 |
| Dupilumabbrand: Dupixent Pen | 62 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$183 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Soderstrom's NPI number?
- John Soderstrom's National Provider Identifier (NPI) is 1871506931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Soderstrom's specialty?
- John Soderstrom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Soderstrom located?
- John Soderstrom's practice location on file with NPPES is 4909 N Glen Park Place Rd, Peoria, IL 61614-4676.
- What is John Soderstrom's phone number?
- The practice phone number listed in the NPPES registry for John Soderstrom is (309) 674-7546.
- Does John Soderstrom accept Medicare?
- John Soderstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Soderstrom's NPI active?
- Yes — John Soderstrom's NPI (1871506931) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.