John R. Soderstrom, P.A.
Physician Assistant · Peoria, IL
John R. Soderstrom, P.A. is a physician assistant with a practice address in Peoria, Illinois, and NPI 1871506931, issued on Aug 13, 2006. Check the license with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- John R. Soderstrom
- Credential
- P.A.
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 4909 N Glen Park Place RD, Peoria, IL 61614
- Phone
- (309) 674-7546
- Enumerated
- Aug 13, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20100714000295); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,926 in Illinois → Look up another NPI →
Also registered at 4909 N Glen Park Place RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stuart Berryman, PA-CMedical Physician Assistant1093774705
- Sarah Christensen, PA-CMedical Physician Assistant1700209160
- Stephanie Ellis, PAPhysician Assistant1922313238
- Todd Gerlach, MDPlastic Surgery Physician1518046044
- Tesfu Hailu, MDDermatopathology Physician1245490382
- Michael Hayes, D.O.Dermatology Physician1912017245
Verify John R. Soderstrom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.2 times the Medicare Part D claims of the average physician assistant in 2024
1,853 Medicare Part D claims for 569 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims.
Most prescribed
- Triamcinolone Acetonide244 claims
- Ketoconazole235 claims
- Betamethasone Dipropionate152 claims
- Clobetasol Propionate84 claims
- Methotrexate71 claims
- Dupixent Pen62 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $182.70
7 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Soderstrom Dermatology Center S CPeoria, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John R. Soderstrom among 4,926 physician assistant records in Illinois
John R. Soderstrom, P.A. is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 88% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2006 · median 2019 among the 3,407 with a school on file
- Record last updated2007 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
95 physician assistant records list a practice address in Peoria
They are 95 of the 4,621 NPPES records with a practice address in Peoria, and 4,926 physician assistant records in Illinois.
All 4,926 in Illinois → Every provider in Peoria → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Tiffanny Connolly, PA-CPeoria, IL 616141346560497
- Jacinda Cornick, PAPeoria, IL 616141124121371
- Stephanie Ellis, PAPeoria, IL 616141922313238
- Monica Everett, PA-CPeoria, IL 616141093141756
- Brandon Gale, PAPeoria, IL 616141639319536
- Heather Martin, PAPeoria, IL 616141588999700
- Lisa Nielsen, PA-CPeoria, IL 616141982688669
- Hope Placher, PA-CPeoria, IL 616141659525855
Common questions
What is John R. Soderstrom, P.A.'s NPI number?
John R. Soderstrom, P.A.'s National Provider Identifier (NPI) is 1871506931, issued on Aug 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John R. Soderstrom, P.A. located?
The NPPES record lists a practice address at 4909 N Glen Park Place RD, Peoria, IL, 61614. Phone: (309) 674-7546. Providers update this record themselves, so call before visiting.
How can I verify John R. Soderstrom, P.A.'s license?
Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
How much does John R. Soderstrom, P.A. prescribe under Medicare Part D?
In 2024, John R. Soderstrom, P.A. had 1,853 Medicare Part D claims for 569 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is John R. Soderstrom, P.A.'s MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.