KEITH KRIESBERG (PA-C) – Physician Assistant, NPI 1487042057
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for KEITH KRIESBERG (PA-C)
PO BOX 7527
DUBLIN, OH 430170727
Phone:
Type: Mailing
2650 WARRENVILLE RD
SUITE 280
DOWNERS GROVE, IL 605151748
Phone: (630) 324-7900
Fax: (630) 271-1813
Type: Mailing
133 E BRUSH HILL RD
SUITE 200
ELMHURST, IL 601265659
Phone: (630) 782-1500
Fax: (630) 501-0446
Type: Location
285 E STATE ST STE 400
COLUMBUS, OH 432154368
Phone: (614) 566-7370
Fax: (614) 533-0187
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $735.
Total Amount is formed as General ($735) + Research ($0) + Ownership ($0) = $735.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($175).
Total Amount
$735
General + Research + Ownership
Payments
20
Total payment records
General Amount
$735
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
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: 2024-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150219001471 | I | Physician Assistant | OH | TBD |
| I20231103001042 | I | Physician Assistant | WI | TBD |
| I20240119002983 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 47 | 47 | $0 |
| 33508 | Harvest of vein using an endoscope | 45 | 45 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 23 | 23 | $0 |
| 33519 | Coronary artery bypass using vein or artery graft, 3 grafts | 15 | 15 | $0 |
Insurance plans in this area (ZIP 43017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 33518 | Combined multiple vein and artery heart artery bypasses | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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