Free National NPI Number Registry

Eric A Kivisto

Home > Eric A Kivisto

 

NPI Number Detailed Information

Provider Information:

Name: Eric A Kivisto
Gender: M
Provider License Number If Given: 5101011210

NPI Information:

NPI: 1447257316
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/6/2005

Last Update Date: 12/7/2022

Reputation Report:

Provider Business Mailing Address:

Address: 1401 E 12TH ST
Mendota, IL 61342
Phone Number: 8155391789
Fax Number: 8155391430

Provider Business Practice Location Address:

Address: 1405 E 12TH ST SUITE 500
Mendota, IL 61342
Phone Number: 8155391789
Fax Number: 8155391430

Provider Taxonomy:

Primary: 208600000X
Secondary (if any): 208600000X
State: IL

Top Doctors in IL

 

About Eric A Kivisto

Eric A Kivisto ( ERIC A KIVISTO ) is A Surgery Physician in Mendota, IL. The NPI Number for Eric A Kivisto is 1447257316.
The current location address for Eric A Kivisto is 1405 E 12TH ST SUITE 500 Mendota, IL 61342 and the contact number is 8155391789 and fax number is 8155391430. The mailing address for Eric A Kivisto is 1401 E 12TH ST Mendota, IL 61342- 8155391789 (mailing address contact number - 8155391789).
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Provider Business Location on Map

FAQs:

What is the NPI Number for Eric A Kivisto ?


Answer: The NPI Number for Eric A Kivisto is 1447257316

Where is Eric A Kivisto located?


Answer: Eric A Kivisto is located at 1405 E 12TH ST SUITE 500 Mendota, IL 61342.

What is the specialty for Eric A Kivisto ?


Answer: The Specialty of Eric A Kivisto is A Surgery Physician.

Are there any online reviews for Eric A Kivisto ?


Answer: Yes! Check It Now.

Are there any other health care providers in Mendota, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Eric A Kivisto

Number of HCPCS 67
Number of Medicare Beneficiaries 313
Number of Services 794
Total Submitted Charge Amount 716083.75
Total Medicare Allowed Amount 128885.59
Total Medicare Payment Amount 99697.38
Total Medicare Standardized Payment Amount 99985.52
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 67
Number of Medicare Beneficiaries With Medical 313
Number of Medical Services 794
Total Medical Submitted Charge Amount 716083.75
Total Medical Medicare Allowed Amount 128885.59
Total Medical Medicare Payment Amount 99697.38
Total Medical Medicare Standardized Payment Amount 99985.52
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 32
Number of Beneficiaries Age 65 to 74 164
Number of Beneficiaries Age 75 to 84 88
Number of Beneficiaries Age Greater 84 29
Number of Female Beneficiaries 172
Number of Male Beneficiaries 141
Number of Non-Hispanic White Beneficiaries 290
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 55
Number of Beneficiaries With Medicare Only Entitlement 258
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.23
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.27
Percent (%) of Beneficiaries Identified With Depression 0.25
Percent (%) of Beneficiaries Identified With Diabetes 0.33
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.65
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.29
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.3119

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type General Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 571
Number of Standardized 30-Day Fills 1338.3333333
Aggregate Cost Paid for All Claims 10582.56
Number of Day's Supply for All Claims 38086
Number of Medicare Beneficiaries 170
Number of Claims, Including Refills, for Beneficiaries Age 65+ 463
Including Refills, for Beneficiaries Age 65+ 1081.1666667
Beneficiaries Age 65+ 8148.55
Number of Day's Supply for All Claims for Beneficaries Age 65+ 30840
Number of Medicare Beneficiaries Age 65+ 141
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 561
Aggregate Cost Paid for Generic Drugs 10422.76
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 168
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 3692.79
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 403
Aggregate Cost Paid for Claims Filled by 6889.77
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 154
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 3237.54
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 417
by Low-Income Subsidy 7345.02
Total Claims of Opioid Drugs, Including 22
Aggregate Cost Paid for Opioid Drugs 139.52
Opioid Claims 22
Opioid_Tot_Clms divided by the Tot_Clms 3.8528896673
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 28
Aggregate Cost Paid for Antibiotic Drugs 160.76
Antibiotic Claims 21
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 70.447058824
Number of Beneficiaries Age Less Than 65 29
Number of Beneficiaries Age 65 to 74 87
Number of Beneficiaries Age 75 to 84 43
Number of Female Beneficiaries 103
Number of Male Beneficiaries 67
Number of Non-Hispanic White 154
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 11
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 127
Average Hierarchical Condition Category 1.1798470986

More Providers in mendota , il

Neungja Chung
Acupuncturist
NPI Number: 1467402412
Address: MENDOTA COMMUNITY HOSPITAL 1315 MEMORIAL DRIVE Mendota, IL 61342 , Phone: 8157130468
Pekin Prohealth Inc.
Oxygen Equipment & Supplies (DME)
NPI Number: 1538113535
Address: 710 ILLINOIS AVE Mendota, IL 61342 , Phone: 8155396506
Mendota Community Hospital
Critical Access Hospital
NPI Number: 1609803113
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Mendota Community Hospital
Certified Registered Nurse Anesthetist
NPI Number: 1952336323
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Mendota Community Hospital
Prosthetic/Orthotic Supplier
NPI Number: 1578598751
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Mendota Community Hospital
Medicare Defined Swing Bed Hospital Unit
NPI Number: 1922024843
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Mendota Community Hospital
Emergency Medicine Physician
NPI Number: 1417973900
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Mendota Community Hospital
Orthopaedic Surgery Physician
NPI Number: 1407872997
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Mary M Chinn
Family Medicine Physician
NPI Number: 1750302253
Address: 1404 WASHINGTON ST Mendota, IL 61342 , Phone: 8155381825
David A Scholl
Family Medicine Physician
NPI Number: 1841211380
Address: 1405 EAST 12TH STREET SUITE 600 Mendota, IL 61342 , Phone: 8155387200
Amy Matheis-Soliman
Family Medicine Physician
NPI Number: 1376566539
Address: 1405 EAST 12TH STREET SUITE 600 Mendota, IL 61342 , Phone: 8155387200
Kenneth K Potts
Certified Registered Nurse Anesthetist
NPI Number: 1316960404
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Dr. Linnea L Person
Chiropractor
NPI Number: 1780699447
Address: 1301 14TH AVE Mendota, IL 61342 , Phone: 8155393011
City Of Mendota
Ambulance
NPI Number: 1619085842
Address: 610 MAIN STREET Mendota, IL 61342 , Phone: 8155393434
Robert A Girard
Physician Assistant
NPI Number: 1871604249
Address: 1311 MEMORIAL DR SUITE 100 Mendota, IL 61342 , Phone: 8155391777
Amanda J. Rogde
Physician Assistant
NPI Number: 1154423028
Address: 1404 WASHINGTON ST Mendota, IL 61342 , Phone: 8155381825
James F Meyer
Certified Registered Nurse Anesthetist
NPI Number: 1912009887
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Highland Park Cvs, L.L.C.
Durable Medical Equipment & Medical Supplies
NPI Number: 1376646042
Address: 1116 MERIDEN ST Mendota, IL 61342 , Phone: 8155382095
Goslin Drug Store Inc
Pharmacy
NPI Number: 1114022589
Address: 1212 13TH AVE Mendota, IL 61342 , Phone: 8155384761
Leonardo Lopez
Family Medicine Physician
NPI Number: 1376643007
Address: 1311 MEMORIAL DR STE 500 Mendota, IL 61342 , Phone: 8155393141
Dr. Rebecca C Salvani
Obstetrics & Gynecology Physician
NPI Number: 1801982327
Address: 1405 E 12TH ST SUITE 200 Mendota, IL 61342 , Phone: 8155391710
Dr. Peter Doran
General Practice Dentistry
NPI Number: 1659458602
Address: 1318 MERIDEN ST Mendota, IL 61342 , Phone: 8155393000
William M Zander
Emergency Medicine Physician
NPI Number: 1518038488
Address: 1315 MEMORIAL DR Mendota, IL 61342 , Phone: 8155397461
Dr. Keri Lynn Sundberg
General Practice Dentistry
NPI Number: 1568536845
Address: WEST SIDE FAMILY DENTISTRY, LTD. 709 PLAZA DRIVE Mendota, IL 61342 , Phone: 8155397004
Pamela A Hansen
Physician Assistant
NPI Number: 1245306166
Address: 1315 MEMORIAL DR Mendota, IL 61342 , Phone: 8155391422
Dr. Michael P Vercimak
Surgery Physician
NPI Number: 1366500852
Address: 1405 E 12TH ST SUITE 200 Mendota, IL 61342 , Phone: 8155393831
Dr. Ernesto Antonio Villalobos
General Practice Dentistry
NPI Number: 1356489801
Address: 1318 MERIDEN ST Mendota, IL 61342 , Phone: 8155393000
Dr. Juli Renee Barrett Leifheit
Chiropractor
NPI Number: 1386789220
Address: 901 MAIN ST STE A Mendota, IL 61342 , Phone: 8155387300
Mendota Community Hospital
Critical Access Hospital
NPI Number: 1962537498
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Mendota Community Hospital
Prosthetic/Orthotic Supplier
NPI Number: 1376673087
Address: 1401 EAST 12TH STREET Mendota, IL 61342 , Phone: 8155397461
Associated Physicians, Sc
Family Medicine Physician
NPI Number: 1265562151
Address: 1405 E 12TH ST SUITE 300 Mendota, IL 61342 , Phone: 8155393141
Bhate & Bhate Radiology Ltd.
Specialist
NPI Number: 1932230455
Address: 1315 MEMORIAL DR Mendota, IL 61342 , Phone: 8155382717
Krenz Dental Corp. Ltd
General Practice Dentistry
NPI Number: 1962524363
Address: 704 INDIANA AVE Mendota, IL 61342 , Phone: 8155385316
Dr. Jon C Krenz
General Practice Dentistry
NPI Number: 1942323787
Address: 704 INDIANA AVE Mendota, IL 61342 , Phone: 8155385316
Dr. Tara Nicole Vandewyngaerde
Optometrist
NPI Number: 1528264603
Address: 700 14TH AVE Mendota, IL 61342 , Phone: 8155396291
Prof. Joshua Chase Humphrey
Occupational Therapist
NPI Number: 1326239492
Address: 1201 1ST AVE Mendota, IL 61342 , Phone: 8155396745
Tara N. Van De Wyngaerde, O.D., P.C.
Optometrist
NPI Number: 1215128806
Address: 700 14TH AVE Mendota, IL 61342 , Phone: 8155396291
Judith A. Mcconville
Nurse Practitioner
NPI Number: 1922288208
Address: 1201 MERIDEN ST Mendota, IL 61342 , Phone: 8155393739
Mendota C C School Dist 289
Local Education Agency (LEA)
NPI Number: 1750550737
Address: 1806 GUILES AVE Mendota, IL 61342 , Phone: 8154336433
Mendota Twp H S Dist 280
Local Education Agency (LEA)
NPI Number: 1669641643
Address: 2300 W MAIN ST Mendota, IL 61342 , Phone: 8154336433
Community Health Partnership Of Illinois
Federally Qualified Health Center (FQHC)
NPI Number: 1093981367
Address: 1009 MAIN ST Mendota, IL 61342 , Phone: 8155396124
Michael P. Vercimak Mdsc
Surgery Physician
NPI Number: 1629245527
Address: 1311 MEMORIAL DR SUITE 700 Mendota, IL 61342 , Phone: 8155393831
Barbara Jean Needs
Chiropractor
NPI Number: 1356576300
Address: 1301 14TH AVE Mendota, IL 61342 , Phone: 8155393011
Mr. Richard Jospeh Baker
Certified Registered Nurse Anesthetist
NPI Number: 1376879122
Address: 1401 E 12TH ST Mendota, IL 61342 , Phone: 8158756001
Changes Counseling, Llc
Counselor
NPI Number: 1548573108
Address: 1315 MEMORIAL DR Mendota, IL 61342 , Phone: 8155012088
Superior Nursing, Ltd.
Nursing Care Agency
NPI Number: 1477858090
Address: 1201 13TH AVE Mendota, IL 61342 , Phone: 8155382921
Now Care Llc
Urgent Care Clinic/Center
NPI Number: 1942582044
Address: 1201 MERIDEN ST Mendota, IL 61342 , Phone: 8155393739
Piller Chiropractic Clinic, Ltd
Chiropractor
NPI Number: 1295017960
Address: 1312 LAKEWOOD DR Mendota, IL 61342 , Phone: 8155397189
Jared M Wise
Physical Therapist
NPI Number: 1174888275
Address: 1401 E 12TH ST Mendota, IL 61342 , Phone: 8155391409
Franklin J Duro
Physical Therapist
NPI Number: 1457616559
Address: 1401 E 12TH ST Mendota, IL 61342 , Phone: 8155391409

eric A kivisto in Other Directories

Provider don't have other directory link yet.