Doctor profile · Federal record
Dr. Kaninika Verma, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Sleep Medicine (Internal Medicine) Physician · Peoria, IL
- NPI 1265503429
- Accepts Medicare
- 23 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1001 Main St, Suite 200
Peoria, IL 616061907
(309) 672-5682
fax (309) 672-3147
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- February 10, 2012
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Illinois #036129385
- Medicaid
- NM #PENDING
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265503429. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
959
Distinct HCPCS
10
Medicare allowed
$107,644
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 168 | 105 | $116 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 145 | 112 | $119 | |
95806 |
Sleep study including heart rate, breathing, airflow, and effort | 132 | 131 | $42 | |
95811 |
Sleep study in sleep lab with continuous airway pressure (6 years or older) | 115 | 108 | $118 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 114 | 107 | $87 | |
99291 |
Critical care, first 30-74 minutes | 70 | 41 | $210 | |
95810 |
Sleep study in sleep lab (6 years or older) | 68 | 68 | $112 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 55 | 29 | $77 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | 52 | $169 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $158 |
In context: peer comparison
Among 2 peers in Peoria Pulmonary Disease Physician, average services per provider: 88. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$248
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Jazz Pharmaceuticals INC. | 1 | $96.83 | |
| Inspire Medical Systems, INC. | 1 | $59.22 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $46.64 | |
| Itamar Medical INC | 1 | $44.83 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
982
Patients
241
Total drug cost
$361,948
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 156 | 57 | $5,516 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 105 | 20 | $48,298 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 89 | 24 | $5,603 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 82 | 15 | $73,209 |
| Azithromycin | Generic | 76 | 21 | $1,301 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 74 | 18 | $35,274 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 70 | 13 | $50,191 |
| Stiolto Respimat (Tiotropium Br/Olodaterol Hcl) | Brand | 60 | 15 | $48,270 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 58 | 15 | $40,750 |
| Fluticasone Propionate | Generic | 45 | 13 | $960 |
Hospital affiliations
Frequently asked questions
What is Dr. Kaninika Verma's medical specialty?
Dr. Kaninika Verma practices Pulmonary Disease Physician in Peoria, IL.
Where does Dr. Kaninika Verma practice?
Dr. Kaninika Verma practices at 1001 Main St, Peoria, IL 616061907. Office phone: 3096725682.
What is Dr. Kaninika Verma's NPI?
Dr. Kaninika Verma's National Provider Identifier (NPI) is 1265503429, issued by NPPES.
Does Dr. Kaninika Verma accept Medicare assignment?
Yes. Dr. Kaninika Verma accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kaninika Verma commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99214); Sleep study including heart rate, breathing, airflow, and effort (HCPCS 95806). Source: CMS Medicare Physician & Other Practitioners file.