Doctor profile · Federal record
Dr. Tamarra Subyantoro, APN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Nurse Practitioner · Peoria, IL
- NPI 1942842018
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5114 N Glen Park Place RD Ste 110
Peoria, IL 616144686
(309) 683-5600
fax (309) 683-5607
Credentials & registration
- NPI registered
- October 2019 — 7 yrs on file
- Profile last updated
- September 27, 2024
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Illinois #209019900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942842018. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
397
Distinct HCPCS
5
Medicare allowed
$27,572
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 202 | 197 | $74 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 115 | 115 | $104 | |
81002 |
Urinalysis, manual test | 58 | 56 | $3 | |
87428 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 11 | 11 | $30 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 11 | 11 | $16 |
In context: peer comparison
Among 56 peers in this city , average services per provider: 65. This provider delivers 6.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
244
Patients
236
Total drug cost
$2,530
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 75 | 74 | $204 |
| Cephalexin | Generic | 67 | 63 | $810 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 26 | 25 | $970 |
| Mupirocin | Generic | 25 | 23 | $200 |
| Azithromycin | Generic | 22 | 22 | $130 |
| Doxycycline Hyclate | Generic | 15 | 15 | $125 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 14 | 14 | $90 |
Hospital affiliations
Frequently asked questions
What is Dr. Tamarra Subyantoro's medical specialty?
Dr. Tamarra Subyantoro practices Family Nurse Practitioner in Peoria, IL.
Where does Dr. Tamarra Subyantoro practice?
Dr. Tamarra Subyantoro practices at 5114 N Glen Park Place RD Ste 110, Peoria, IL 616144686. Office phone: 3096835600.
What is Dr. Tamarra Subyantoro's NPI?
Dr. Tamarra Subyantoro's National Provider Identifier (NPI) is 1942842018, issued by NPPES.
Does Dr. Tamarra Subyantoro accept Medicare assignment?
Yes. Dr. Tamarra Subyantoro accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tamarra Subyantoro commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Urinalysis, manual test (HCPCS 81002). Source: CMS Medicare Physician & Other Practitioners file.