DR. JONATHAN JEROME LUSARDI (M.D.) – Otolaryngology Physician, NPI 1487940672
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for DR. JONATHAN JEROME LUSARDI (M.D.)
210 S DESPLAINES ST
UNIT 1105
CHICAGO, IL 606615500
Phone: (314) 330-2744
Type: Mailing
5841 S MARYLAND AVE # MC1052
UCMC, DEPT OF GME RM J141
CHICAGO, IL 606371447
Phone: (773) 702-6760
Fax: (773) 702-0861
Type: Location
12255 DEPAUL DR SUITE 830N
BRIDGETON, MO 630442510
Phone: (314) 291-5307
Fax: (314) 291-0838
Type: Mailing
12255 DEPAUL DR 830N
BRIDGETON, MO 63044
Phone: (314) 291-5307
Fax: (314) 291-0838
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,216.
Total Amount is formed as General ($1,216) + Research ($0) + Ownership ($0) = $1,216.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($599).
Total Amount
$1,216
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
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: 2016-05-19
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 |
|---|---|---|---|---|
| I20160519002258 | I | Otolaryngology | MO | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 117 | 117 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 60 | $0 |
| 42975 | Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| Physician Assistant | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| Physician Assistant | MO | |
| Physician Assistant | IL | |
| O T O L A R Y N G O L O G Y | MO | |
| Nurse Practitioner | IN |
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