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Dr. Jessica N Mistretta , DO

Pediatrics โ€ข Springfield, IL

Active NPI 1033731500 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

400 N 9th St
Springfield, IL 627025310

Call 2175458000 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

400 N 9th St

Springfield, IL 627025310

Telephone 2175458000
Fax 2175452303
Organization at the Same NPPES Address or Phone
Siu Physicians & Surgeons, Inc Facility NPI 1164055976

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Peoria, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Michael D. Tarantino, M.D. S.C.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Kansas City University Of Med & Biosciences, College Of Osteo Med

Graduation Year

2020

Medicare patients

40 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $13,886 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $11,064 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $124.89 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

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

Enrolled in Medicare (PECOS)

Dr. Mistretta has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mistretta as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Pediatrics in Illinois (2024, 63 clinicians with data). Median for this group: 250. Middle half: 55 to 642.

Too few clinicians listed under Pediatrics in Springfield have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Pediatrics in Illinois (2024, 63 clinicians with data). Median for this group: $22,128. Middle half: $4,721 to $56,777.

Too few clinicians listed under Pediatrics in Springfield have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Pediatrics in Illinois (2024, 63 clinicians with data). Median for this group: $14,969. Middle half: $3,713 to $42,033.

Too few clinicians listed under Pediatrics in Springfield have Medicare Part B data for 2024 to compare.

108 active clinicians are listed under Pediatrics with a practice address in Springfield, IL (3,178 in Illinois).

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

Telehealth indicator in Springfield

1.9% of these 108 clinicians have the CMS telehealth indicator.

4.6% of these 108 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $124.89.

Manufacturer Payment Nature Product Type Amount ($)
Novo Nordisk Inc
Food and Beverage
In-kind items and services
โ€” General $124.89

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
83 26 $286.64 $114.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
26 26 $454.33 $167.52

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036163468

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125.076260

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230901001198

Enrollment State Jurisdiction

IL

PECOS Control ID

8729408810

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Michael D. Tarantino, M.d. S.c.

427 W Northmoor Rd, Peoria, IL 616143542

Phone: 3096925337

Secondary Practice Locations

8600 State Route 91 Ste 200

Peoria, IL 616157833

Phone: 3096921030

530 Ne Glen Oak Ave

Peoria, IL 616372214

Phone: 3096552000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
Dr. Janet Albers , MD

Family Medicine

NPI 1023006913

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335
Dr. Mukul Bhattarai , MD

Internal Medicine - Cardiovascular Disease

NPI 1013204262

Doctor of Medicine (M.D.)

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Dr. Basar Cenik , MD

Psychiatry & Neurology - Psychiatry

NPI 1013350446

Doctor of Medicine (M.D.)

Olivia Delay , FNP-C

Nurse Practitioner - Family

NPI 1033795992

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

14 Historical Events
๐Ÿ“
Updated Practice Location July 27, 2026

Registered at 400 N 9TH ST, SPRINGFIELD, IL 627025310 (Tel: 2175458000)

๐Ÿ“
Updated Business Mailing Address July 27, 2026

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Pediatrics (license number reported to NPPES: IL 125.076260)

๐Ÿ“
Updated Practice Location July 01, 2025

Registered at 8600 STATE ROUTE 91 STE 200, PEORIA, IL 616157833 (Tel: 3096921030)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Pediatrics (license number reported to NPPES: IL 036163468)

๐Ÿ“
Updated Practice Location July 28, 2022

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616372214 (Tel: 3096552000)

๐Ÿ“
Updated Business Mailing Address July 28, 2022

Registered at 123 EDGAR ST, LINCOLN, IL 626561514 (Tel: 5738083508)

๐Ÿ‘ค
Provider Name / Credentials Updated July 28, 2022

Recorded as JESSICA MISTRETTA, DO

โœ…
NPI Profile Active May 07, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 07, 2020

Registered at 981 HIGHWAY K, RHINELAND, MO 650692214 (Tel: 5738083508)

๐Ÿ“
Business Mailing Address (Initial Record) May 07, 2020

Registered at 981 HIGHWAY K, RHINELAND, MO 650692214 (Tel: 5738083508)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 07, 2020

Recorded as JESSICA ZEISS, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2020

Pediatrics (license number reported to NPPES: IL 125.076260)

๐ŸŸข
Initial NPI Registration & Enumeration May 07, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033731500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2020
Last Update: July 27, 2026
Sole Proprietor: Yes

Other Pediatrics Specialists in Springfield

All Pediatrics Specialists in Springfield

More public profiles in Illinois

Directory navigation, in NPI number order.

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

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.