Doctor profile · Federal record
Dr. Jack Walz, DDS
Dentist (CMS: Oral Surgery) · East Peoria, IL
- NPI 1427166008
- 45 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
731 Sabrina Drive, Ste A
East Peoria, IL 61611
(309) 699-1300
fax (309) 699-5399 - Mailing address
-
731 Sabrina Dr, Unit A
East Peoria, IL 616113582
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- March 12, 2018
- Year of graduation
- 1981 — 45 yrs since
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Illinois #019021995
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1427166008. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
407
Distinct HCPCS
6
Medicare allowed
$32,010
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 176 | 138 | $82 | |
76100 |
X-ray of body plane | 80 | 26 | $80 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 60 | 60 | $103 | |
70355 |
X-ray of lower jaws, upper jaws and teeth | 50 | 50 | $16 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 21 | 21 | $164 | |
70250 |
X-ray of skull, 1-3 views | 20 | 20 | $32 |
In context: peer comparison
Among 1 peers in East Peoria Dentist, average services per provider: 67. This provider delivers 6.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
40
Patients
0
Total drug cost
$667
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 28 | 0 | $652 |
| Lorazepam | Generic | 12 | 0 | $16 |
Frequently asked questions
What is Dr. Jack Walz's medical specialty?
Dr. Jack Walz practices Dentist in East Peoria, IL.
Where does Dr. Jack Walz practice?
Dr. Jack Walz practices at 731 Sabrina Drive, East Peoria, IL 61611. Office phone: 3096991300.
What is Dr. Jack Walz's NPI?
Dr. Jack Walz's National Provider Identifier (NPI) is 1427166008, issued by NPPES.
Does Dr. Jack Walz accept Medicare assignment?
Dr. Jack Walz does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Jack Walz commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); X-ray of body plane (HCPCS 76100); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.