DR. JOHN L. BERTOLOZZI (D.O.) – Anesthesiology Physician, NPI 1407869779

DR. JOHN L. BERTOLOZZI (D.O.) is a healthcare provider. based in East dundee, Illinois. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials D.O.. They hold a License No. 036095646 (IL). The NPI Number for DR. JOHN L. BERTOLOZZI (D.O.) is 1407869779

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN L. BERTOLOZZI (D.O.)
NPI
1407869779
Phone
(847) 836-7015
Address
185 PENNY AVE
Enumeration Date
15 August 2006
Last Update Date
10 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086813200
Graduation Year
1993 (33 years ago)
PAC ID
1951426543
Group Practice PAC ID
3476979683
Professional Enrollment ID
I20100920000890
Address ID
IL601601612ME701XXAVEX400

Contacts

Secure Messaging
jbertolozzi143224@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DR. JOHN L. BERTOLOZZI (D.O.)

  • 185, Penny Avenue, East Dundee, Kane County, Illinois, 60118, United States

    EAST DUNDEE, IL 601181454

    Phone: (847) 836-7015

    Type: Mailing

  • Rush Copley Medical Center, 2000, Ogden Avenue, Aurora, Kane County, Illinois, 60504, United States

    AURORA, IL 605047222

    Phone: (630) 978-4860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($18).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-20

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
I20100920000890IAnesthesiologyILTBD

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 endoscope4443$0
00811Anesthesia for other procedure on large bowel using an endoscope3535$0
00142Anesthesia for lens surgery3429$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 60118)

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Provider's Procedures

DR. JOHN L. BERTOLOZZI (D.O.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL00790Anesthesia for procedure in upper abdomen including use of an endoscope1313
ANESTHESIOLOGYIL01402Anesthesia for open or endoscopic total knee joint replacement1212

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: 3476979683View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Interventional Pain Management, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YCT

Reviews

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Frequently asked questions

How do payers reference DR. JOHN L. BERTOLOZZI (D.O.)?
For DR. JOHN L. BERTOLOZZI (D.O.), use NPI 1407869779 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JOHN L. BERTOLOZZI (D.O.)?
You should see DR. JOHN L. BERTOLOZZI (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. JOHN L. BERTOLOZZI (D.O.)?
At a glance, DR. JOHN L. BERTOLOZZI (D.O.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JOHN L. BERTOLOZZI (D.O.)?
Travel planning: use East Dundee, Illinois as the reference point for DR. JOHN L. BERTOLOZZI (D.O.), then confirm.
When was this NPI issued?
Enumeration for DR. JOHN L. BERTOLOZZI (D.O.) is noted as August 15, 2006 where the registry provides it.

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