DR. KENNETH NELSON (MD) – Family Medicine Physician, NPI 1700838745
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. KENNETH NELSON (MD)
911, North Elm Street, Fullersburg, Hinsdale, DuPage County, Illinois, 60521, United States
SUITE 215
HINSDALE, IL 605213634
Phone: (630) 856-6865
Fax: (630) 856-6813
Type: Mailing
2434, Wolf Road, Westchester, Proviso Township, Cook County, Illinois, 60154, United States
WESTCHESTER, IL 601545634
Phone: (630) 856-6865
Fax: (630) 856-6813
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $348.
Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($168).
Total Amount
$348
General + Research + Ownership
Payments
17
Total payment records
General Amount
$348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $168 |
| GlaxoSmithKline, LLC. | $93 |
| Lilly USA, LLC | $63 |
| PFIZER INC. | $25 |
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: 2011-02-24
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 |
|---|---|---|---|---|
| I20110224000150 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 255 | 195 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 157 | 157 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 85 | 30 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 62 | 14 | $0 |
| G0008 | Administration of influenza virus vaccine | 53 | 52 | $0 |
Insurance plans in this area (ZIP 60521)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 90670 | Pneumococcal vaccine for injection into muscle | 39 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Family Practice, Emergency Medicine | IL | |
| N E U R O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Geriatric Medicine, Family Practice | IL | |
| Family Practice | IL |
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