DR. KENNETH PETER JUSTESEN D.O.
NPI 1174607121
Anesthesiology in Rockford, IL

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2023, May 4, 2021 (2 updates tracked since 2021).

About Dr. Kenneth Peter Justesen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH PETER JUSTESEN D.O. (NPI 1174607121) is an individual anesthesiology provider in Rockford, Illinois, licensed in Illinois (036088819) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1991).

NPPES Registry Identity

NPI1174607121
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KENNETH PETER JUSTESENCredential: D.O.
Location Address5875 E RIVERSIDE BLVDRockford, IL 61114-4937
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Fax(815) 381-7498
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1991
Enumeration DateOctober 25, 2006
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
NPI 1174607121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in IL · 036088819
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

5875 E RIVERSIDE BLVD, Rockford, IL 61114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Peter Justesen D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355527144
PECOS Enrollment IDI20110511000754
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
46 services46 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
43 services43 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
28 services28 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
22 services22 patients
Anesthesia for open or endoscopic total shoulder joint replacement 01638
Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.
14 services14 patients
Anesthesia for other procedure or exam of knee joint using an endoscope 01400
Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.
13 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Podiatrist (Foot & Ankle Surgery)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Physical Medicine & Rehabilitation
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology (Pain Medicine)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Justesen's NPI number?

The NPI number for Kenneth Justesen is 1174607121. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Kenneth Justesen located?

Kenneth Justesen practices at 5875 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 398-9491.

What is Kenneth Justesen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kenneth Justesen enrolled in Medicare?

Yes. Kenneth Justesen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Justesen was last updated on November 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.