LAUREL KIETZMAN (MD) – Emergency Medicine Physician, NPI 1336331222
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for LAUREL KIETZMAN (MD)
515 IRVING ST
WHEATON, IL 60187
Phone: (630) 752-5072
Type: Mailing
2500 W REYNOLDS ST
PONTIAC, IL 617649774
Phone: (815) 842-2828
Type: Location
515 Irving St
Wheaton, IL 60187
Phone: (630) 752-5072
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $319.
Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Inari Medical, Inc. ($319).
Total Amount
$319
General + Research + Ownership
Payments
2
Total payment records
General Amount
$319
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $319 |
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: 2011-09-22
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 |
|---|---|---|---|---|
| I20110922000662 | I | Emergency Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 193 | 187 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 65 | 61 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 52 | 52 | $0 |
| 99291 | Critical care, first 30-74 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 60187)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine, Internal Medicine | IN | |
| - | IL | |
| Emergency Medicine | WI | |
| Emergency Medicine | IL | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Emergency Medicine | IL | |
| Nurse Practitioner | 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.