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DR. KRISTINE P PULTORAK D.O.
NPI 1306814298
Emergency Medicine in Dixon, IL

Active since March 08, 2006PECOS Enrolled
403 E 1ST ST, DIXON, IL 61021(815) 288-5561(815) 285-5859 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2022, Aug 22, 2018 (2 updates tracked since 2018).

About Dr. Kristine P Pultorak D.o. NPPES

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

DR. KRISTINE P PULTORAK D.O. (NPI 1306814298) is an individual emergency medicine provider in Dixon, Illinois, licensed in Illinois (036.092252) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306814298
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KRISTINE P PULTORAKCredential: D.O.
Location Address403 E 1ST STDixon, IL 61021
Mailing Address403 E 1st StDixon, IL 61021-3116 · (815) 288-5561 · Fax (815) 285-5859
Phone(815) 288-5561
Fax(815) 285-5859
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
✔ NPI 1306814298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036.092252
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036-092252 (IL)
403 E 1ST ST, Dixon, IL 61021
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Other Identifiers 3

Medicaid036092252IL
Other800200006IL · Medicare
Other381220005IL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristine P Pultorak D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
88 services78 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
52 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAAD BLANEY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5533
KATHERINE SHAW BETHEA HOSPITAL
Psychiatric Unit
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
BRETT AUSTIN MCGOWAN M.D.
Obstetrics & Gynecology
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5461
MARIE NOWAK MD
Emergency Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
STACEY PENAFLOR
Physical Therapist
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5591
DOROTHY BENNETT MD
Internal Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5629
VALARIE PFOUTZ APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
AUDRA DANIELLE WASHO APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 284-5710

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 Kristine Pultorak's NPI number?

The NPI number for Kristine Pultorak is 1306814298. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kristine Pultorak located?

Kristine Pultorak practices at 403 E 1st St, Dixon, IL 61021. The listed phone number is (815) 288-5561.

What is Kristine Pultorak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kristine Pultorak enrolled in Medicare?

Yes. Kristine Pultorak is registered in the Medicare PECOS enrollment system.

What insurance does Kristine Pultorak accept?

Health plans from Medica and Oscar Insurance Company list Kristine Pultorak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Pultorak was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.