DR. LORI ANN KNUTSTROM (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1295817054
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for DR. LORI ANN KNUTSTROM (D.P.M.)
705 S Dixie Hwy
Hoopeston, IL 609421904
Phone: (217) 283-5530
Fax: (217) 283-6437
Type: Location
806 E Walnut St
Watseka, IL 609701583
Phone: (815) 432-1078
Fax: (815) 432-1079
Type: Location
PO BOX 985
NEW LENOX, IL 60451
Phone: (815) 325-5975
Type: Mailing
332 KAUFMAN DR
LODA, IL 609489745
Phone: (815) 325-5975
Type: Location
912 W SEMINARY AVE
ONARGA, IL 609551401
Phone: (815) 268-4840
Fax: (815) 268-4845
Type: Location
Theodore Street, Joliet, Troy Township, Will County, Illinois, 60586, United States
SUITE 1
JOLIET, IL 604352443
Phone: (815) 723-6715
Fax: (815) 463-1864
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($30).
Total Amount
$79
General + Research + Ownership
Payments
4
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-02-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110214000029 | I | Podiatry | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60942)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IL | 11056 | Removal of 2 to 4 thickened skin growths | 150 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| Diagnostic Radiology | IN | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Emergency Medicine | MN | |
| - | IL | |
| - | IL |
Reviews
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