DR. MARTIN RYAN FETZER (D.O.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1649499476
Pain Medicine (Physical Medicine & Rehabilitation) Physician
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Profile Insights
NPPES metrics only — not quality of care.
596 PHYSICAL MEDICINE AND REHABILITATION in IL
Provider Addresses for DR. MARTIN RYAN FETZER (D.O.)
133 E BRUSH HILL RD
SUITE 100
ELMHURST, IL 601265659
Phone: (630) 967-6000
Fax: (630) 355-3273
Type: Mailing
PO BOX 713260
CHICAGO, IL 606771260
Phone: (630) 469-9200
Type: Mailing
1860 PAYSPHERE CIR
CHICAGO, IL 606740018
Phone: (630) 942-7998
Fax: (630) 545-7531
Type: Mailing
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 601484932
Phone: (630) 967-2225
Fax: (630) 241-6906
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 $310.
Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: MML US, Inc. ($169).
Total Amount
$310
General + Research + Ownership
Payments
2
Total payment records
General Amount
$310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MML US, Inc. | $169 |
| SPR Therapeutics, Inc | $141 |
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: 2011-12-30
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 |
|---|---|---|---|---|
| I20111230000609 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 538 | 318 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 234 | 234 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 225 | 150 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 180 | 39 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 144 | 117 | $0 |
Insurance plans in this area (ZIP 60126)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | IL | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 49 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL |
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