KURTIS DEJONG (MD) – Emergency Medicine Physician, NPI 1184680159
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,511 INTERNAL MEDICINE in IN
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Provider Addresses for KURTIS DEJONG (MD)
Mishawaka Medical Center, 5215, Holy Cross Parkway, Mishawaka, Saint Joseph County, Indiana, 46545, United States
EMERGENCY DEPARTMENT
MISHAWAKA, IN 465451469
Phone: (574) 335-5000
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 6 Open Payments records for all available years, with a total value of $152.
Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ABBVIE INC. ($152).
Total Amount
$152
General + Research + Ownership
Payments
6
Total payment records
General Amount
$152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $152 |
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: 2009-04-06
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 |
|---|---|---|---|---|
| I20090406000106 | I | Emergency Medicine | IN | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 223 | 199 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 128 | 121 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 71 | 70 | $0 |
| 99291 | Critical care, first 30-74 minutes | 40 | 40 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 46545)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | IN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 333 | 315 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | NH | |
| Family Practice, Emergency Medicine | NC | |
| Physician Assistant | OR | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | TN | |
| - | OR |
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