DR. KERRI ANN KULOVITZ (D.O.) – Orthopaedic Surgery Physician, NPI 1780995423
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for DR. KERRI ANN KULOVITZ (D.O.)
11211 POPLAR CREEK LN
ORLAND PARK, IL 604677309
Phone: (708) 334-6454
Type: Mailing
904 S MILWAUKEE AVE STE B
LIBERTYVILLE, IL 600483215
Phone: (847) 303-5790
Type: Location
4600 38th St
Columbus, NE 686011664
Phone: (402) 564-7118
Type: Location
20201 Crawford Ave
Olympia Fields, IL 604611010
Phone: (708) 747-4000
Type: Location
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 604611010
Phone: (708) 747-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $313.
Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: TriMed, Inc. ($273).
Total Amount
$313
General + Research + Ownership
Payments
4
Total payment records
General Amount
$313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriMed, Inc. | $273 |
| Stryker Corporation | $20 |
| Endo USA, Inc. | $20 |
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: 2020-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160921001521 | I | Hand Surgery | IL | TBD |
| I20200315000112 | I | Orthopedic Surgery | NE | 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 | 140 | 88 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 101 | 95 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 93 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 65 | 65 | $0 |
Insurance plans in this area (ZIP 60467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Emergency Medicine | NE | |
| Emergency Medicine | CA | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| O T O L A R Y N G O L O G Y | NE | |
| General Surgery | NE | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Nurse Practitioner | NE |
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