Doctor profile · Federal record
Dr. Carl Soderstrom, M.D.
Dermatopathology Physician · Dermatology Physician · Peoria, IL
- NPI 1053370759
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4909 N Glen Park Place RD
Peoria, IL 616144676
(309) 674-7546
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- September 11, 2025
- Specialty taxonomy
- 207ND0900X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053370759. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
29
Distinct HCPCS
2
Medicare allowed
$2,531
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $110 | |
17000 |
Destruction of precancer skin growth, 1 growth | 11 | 11 | $50 |
In context: peer comparison
Among 1 peers in Peoria Dermatopathology Physician, average services per provider: 14. This provider delivers 2.1× the peer median.Frequently asked questions
What is Dr. Carl Soderstrom's medical specialty?
Dr. Carl Soderstrom practices Dermatopathology Physician in Peoria, IL.
Where does Dr. Carl Soderstrom practice?
Dr. Carl Soderstrom practices at 4909 N Glen Park Place RD, Peoria, IL 616144676. Office phone: 3096747546.
What is Dr. Carl Soderstrom's NPI?
Dr. Carl Soderstrom's National Provider Identifier (NPI) is 1053370759, issued by NPPES.
What procedures does Dr. Carl Soderstrom commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.