RYAN LUSTENBERGER (M.D.) – Anesthesiology Physician, NPI 1215223714

RYAN LUSTENBERGER (M.D.) is a healthcare provider. based in Palos heights, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036134590 (IL). The NPI Number for RYAN LUSTENBERGER (M.D.) is 1215223714

Main info

Male
15 Years Of Experience
Name
RYAN LUSTENBERGER (M.D.)
NPI
1215223714
Phone
Not provided
Address
12251 S 80TH AVE
Enumeration Date
22 June 2011
Last Update Date
12 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8553697546
Graduation Year
2011 (15 years ago)
PAC ID
4587970561
Group Practice PAC ID
1254826175
Professional Enrollment ID
I20150908000177
Address ID
IL609012901KA350XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for RYAN LUSTENBERGER (M.D.)

  • 12251 S 80TH AVE

    PALOS HEIGHTS, IL 604631256

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$19
View all Open Payments →|Open Payments Risk Radar →

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: 2015-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150908000177IAnesthesiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope6463$0
00811Anesthesia for other procedure on large bowel using an endoscope4646$0
00520Anesthesia for other closed procedure on chest3030$0
00840Anesthesia for other procedure on lower abdomen1919$0
01402Anesthesia for procedure for total knee joint replacement1717$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254826175View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Interventional Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to RYAN LUSTENBERGER (M.D.)?
NPI 1215223714 is assigned to RYAN LUSTENBERGER (M.D.) under the national enumeration system.
Is RYAN LUSTENBERGER (M.D.)'s NPI currently valid?
The extract we use shows RYAN LUSTENBERGER (M.D.) as active.
Does RYAN LUSTENBERGER (M.D.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for RYAN LUSTENBERGER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place RYAN LUSTENBERGER (M.D.)?
The snapshot lists Palos Heights, Illinois for RYAN LUSTENBERGER (M.D.); download NPPES for the complete set.
What if Palos Heights, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.