DR. KYLE S. PETERSON (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1417256272
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. KYLE S. PETERSON (D.P.M.)
1110 W SCHICK RD
BARTLETT, IL 601033007
Phone: (630) 372-1100
Fax: (614) 895-8810
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 141 Open Payments records for all available years, with a total value of $52,546.
Total Amount is formed as General ($52,546) + Research ($0) + Ownership ($0) = $52,546.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($29,484).
Total Amount
$52,546
General + Research + Ownership
Payments
141
Total payment records
General Amount
$52,546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $29,484 |
| MedShape, Inc. | $16,924 |
| Trilliant Surgical LLC. | $2,371 |
| Fusion Orthopedics USA, LLC | $1,871 |
| EXACTECH, INC. | $373 |
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: 2014-11-18
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 |
|---|---|---|---|---|
| I20141118000183 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 394 | 107 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 358 | 141 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 316 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 314 | 136 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 300 | 96 | $0 |
Insurance plans in this area (ZIP 60103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 22 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery | WI | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Pain Management | IL | |
| Orthopedic Surgery | IL |
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