Doctor profile · Federal record
Dr. Lane Dieckow
Physical Therapist (CMS: Physical Therapist in Private Practice) · Peoria, IL
- NPI 1467690073
- Accepts Medicare
- MIPS 92.8 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3714 N Prospect RD
Peoria, IL 616147743
(309) 550-7888
fax (309) 550-7848 - Mailing address
-
625 Enterprise Dr
Oak Brook, IL 60523
Credentials & registration
- NPI registered
- February 2009 — 17 yrs on file
- Profile last updated
- June 28, 2017
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Illinois #070016884
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467690073. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,388
Distinct HCPCS
5
Medicare allowed
$37,632
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 458 | 142 | $33 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 383 | 124 | $22 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 284 | 135 | $25 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 240 | 97 | $20 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 23 | 23 | $94 |
In context: peer comparison
Among 25 peers in this city , average services per provider: 315. This provider delivers 4.4× the peer median.Frequently asked questions
What is Dr. Lane Dieckow's medical specialty?
Dr. Lane Dieckow practices Physical Therapist in Peoria, IL.
Where does Dr. Lane Dieckow practice?
Dr. Lane Dieckow practices at 3714 N Prospect RD, Peoria, IL 616147743. Office phone: 3095507888.
What is Dr. Lane Dieckow's NPI?
Dr. Lane Dieckow's National Provider Identifier (NPI) is 1467690073, issued by NPPES.
Does Dr. Lane Dieckow accept Medicare assignment?
Yes. Dr. Lane Dieckow accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lane Dieckow commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.