JON A DEBORD (PT MS ATC SCS) – Physical Therapist, NPI 1740247394
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for JON A DEBORD (PT MS ATC SCS)
PO BOX 3497
STURTEVANT, WI 531770300
Phone: (877) 552-2996
Fax: (866) 245-8064
Type: Mailing
125 SOUTH ST
SUITE B
KEWANNE, IL 61443
Phone: (309) 852-2203
Fax: (309) 852-2402
Type: Location
110 E 10TH ST
KEWANEE, IL 614431330
Phone: (309) 852-2200
Fax: (309) 852-2402
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2004-10-01
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 |
|---|---|---|---|---|
| I20041001000944 | I | Physical Therapist In Private 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 5,009 | 176 | $0 |
| 97530 | Therapy procedure using functional activities | 3,906 | 146 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 1,403 | 102 | $0 |
| 97116 | Therapy procedure for walking training, each 15 minutes | 1,197 | 57 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 664 | 52 | $0 |
Insurance plans in this area (ZIP 53177)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | IL | 97001 | Physical therapy evaluation | 113 | 105 |
| PHYSICAL THERAPY | IL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 496 | 44 |
| PHYSICAL THERAPY | IL | 97535 | Self-care or home management training, each 15 minutes | 1119 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NV | |
| - | WI | |
| Occupational Therapist In Private Practice | IL | |
| - | WI |
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