MS. CAMI JO KISTENFEGER (MPAS, PA-C) – Physician Assistant, NPI 1053620930
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MS. CAMI JO KISTENFEGER (MPAS, PA-C)
2905 N MAIN ST
STE. G
DECATUR, IL 625264274
Phone: (217) 425-2600
Fax: (217) 425-2900
Type: Mailing
3600 W BETHEL AVE
MUNCIE, IN 473045407
Phone:
Type: Mailing
53880 CARMICHAEL DR
SOUTH BEND, IN 466351567
Phone: (574) 247-9441
Fax: (745) 247-9442
Type: Location
60160 Bodnar Blvd
Mishawaka, IN 465449338
Phone: (574) 247-9441
Fax: (574) 247-9442
Type: Location
2349 Lake Ave Ste 201
Plymouth, IN 465637837
Phone: (574) 247-9441
Type: Location
303 S Nappanee St Ste F
Elkhart, IN 465142066
Phone: (574) 247-9441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,335.
Total Amount is formed as General ($1,335) + Research ($0) + Ownership ($0) = $1,335.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($756).
Total Amount
$1,335
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,335
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $756 |
| Stryker Corporation | $429 |
| Wardlow Enterprises | $46 |
| Ethicon US, LLC | $30 |
| DePuy Synthes Sales Inc. | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101118000979 | I | Physician Assistant | IL | TBD |
| I20240304001704 | I | Physician Assistant | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 249 | 56 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 65 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 17 | 17 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 17 | 17 | $0 |
Insurance plans in this area (ZIP 62526)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 371 | 194 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IN | |
| Physical Therapist In Private Practice | IL | |
| Pain Management, Anesthesiology | IL | |
| Neurology, Sleep Medicine | IN | |
| Physical Therapist In Private Practice | IL | |
| Orthopedic Surgery | IN | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | MI | |
| Orthopedic Surgery | IL |
Reviews
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