LAUREL KIETZMAN MD
NPI 1336331222
Emergency Medicine in Pontiac, IL

Q: What is Laurel Kietzman's NPI number?

The NPI number for Laurel Kietzman is 1336331222. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Q: What is Laurel Kietzman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laurel Kietzman was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment

2500 W REYNOLDS ST, PONTIAC, IL 61764(815) 842-2828 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Laurel Kietzman Md NPPES

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

LAUREL KIETZMAN MD (NPI 1336331222) is an individual emergency medicine provider in Pontiac, Illinois, licensed in Illinois (036119129) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and maintains a secondary practice location in Wheaton.

NPPES Registry Identity

NPI1336331222

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameLAUREL KIETZMANCredential: MD

Location Address2500 W REYNOLDS STPontiac, IL 61764-9774

Mailing Address2500 W Reynolds StPontiac, IL 61764-9774 · (815) 842-2828

Phone(815) 842-2828

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1986

Enumeration DateAugust 14, 2007

Last NPPES UpdateJuly 24, 2024

NPPES CertifiedJuly 24, 2024

✔ NPI 1336331222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036119129

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.

2500 W REYNOLDS ST, Pontiac, IL 61764

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Secondary Practice Location 1

Location 1515 Irving StWheaton, IL 60187 · Phone (630) 752-5072

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

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

Laurel Kietzman Md 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 ID7214108273

PECOS Enrollment IDI20110922000662

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 4

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.

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.

202 services196 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

103 services101 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.

64 services61 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140155

Location500 W Court StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Presence Mercy Medical Center

Acute Care Hospitals · Aurora, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140174

Location1325 N Highland AvenueAurora, IL 60506 · Kane County

Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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.

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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.

EMILY RUFF

Occupational Therapist