Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mark Joseph Colston , ATC

Specialist β€’ Peoria, IL

Active NPI 1265585517 Individual Practitioner Male Practitioner
Practice location in NPPES

1501 W Bradley Ave
Peoria, IL 616252417

Call 7653762657 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1501 W Bradley Ave

Peoria, IL 616252417

Telephone 7653762657

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Peoria and Illinois

15 active clinicians are listed under Specialist with a practice address in Peoria, IL (1,157 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

6.7% of these 15 clinicians have the CMS telehealth indicator.

26.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-21
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES IN 36000941A

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 21, 2024

Registered at 1501 W BRADLEY AVE, PEORIA, IL 616252417 (Tel: 7653762657)

πŸ“
Updated Business Mailing Address February 21, 2024

Registered at 586 HERITAGE DR, MACKINAW, IL 617558991 (Tel: 7653762657)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 301 W WABASH AVE, CRAWFORDSVILLE, IN 479332417 (Tel: 7653616159)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 363 W STATE ROAD 32, CRAWFORDSVILLE, IN 479338965 (Tel: 7653616159)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MARK COLSTON, A.T.C.,

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (license number reported to NPPES: IN 36000941A)

🟒
Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265585517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: February 21, 2024
Sole Proprietor: Yes

Other Specialists in Peoria

All Specialists in Peoria

Mailing Address

586 Heritage Dr

Mackinaw, IL 617558991

Phone: 7653762657

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.