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MR. KEVIN CHIBOUZO ILO M.D.
NPI 1366124166
Orthopaedic Surgery in Williamsville, NY

Active since August 02, 2023PECOS Enrolled
111 N MAPLEMERE RD STE 100, WILLIAMSVILLE, NY 14221(716) 204-3200(716) 204-4337 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Sep 27, 2024, Sep 13, 2024 (3 updates tracked since 2024).

About Mr. Kevin Chibouzo Ilo M.d. NPPES

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

MR. KEVIN CHIBOUZO ILO M.D. (NPI 1366124166) is an individual orthopaedic surgery provider in Williamsville, New York, licensed in New York (343150) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366124166
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. KEVIN CHIBOUZO ILOCredential: M.D.
Location Address111 N MAPLEMERE RD STE 100Williamsville, NY 14221-3182
Mailing Address4225 Genesee St Ste 400Cheektowaga, NY 14225-1994 · (716) 204-3200 · Fax (716) 204-4337
Phone(716) 204-3200
Fax(716) 204-4337
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 2, 2023
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1366124166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 343150
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 N MAPLEMERE RD STE 100, Williamsville, NY 14221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Chibouzo Ilo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880125178
PECOS Enrollment IDI20260807002870
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Ilo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Orthopaedic Services, Inc
4.7 mi
Orthopaedic Surgery
4225 GENESEE ST STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 139 clinicians in this Medicare group
NPI 1578599866 (716) 204-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
22 services22 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

ETHAN KENJI CRAIG MD
Surgery
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 833-7112
DR. MARK JOSPEH SIEDLECKI PT, DPT
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
FRANCESCO R PELLICANO DPT
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
MS. PENELOPE LYN MCCLURG PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
CAITLIN TAYLOR PA
Physician Assistant
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
DR. ERIN MARGARET EGAN PT, DPT
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
DR. KEVIN THOMAS SCHAUER MD
Orthopaedic Surgery
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200
BRANDON YAX DPT
Physical Therapist
111 N MAPLEMERE RD STE 100
WILLIAMSVILLE, NY 14221
Erie County (716) 204-3200

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 Kevin Ilo's NPI number?

The NPI number for Kevin Ilo is 1366124166. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Kevin Ilo located?

Kevin Ilo practices at 111 N Maplemere Rd Ste 100, Williamsville, NY 14221. The listed phone number is (716) 204-3200.

What is Kevin Ilo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Ilo enrolled in Medicare?

Yes. Kevin Ilo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Ilo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ilo reassigns Medicare benefits to University Orthopaedic Services, Inc (Cheektowaga, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Ilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Ilo accept?

Health plans from Moda Health Plan, Inc. list Kevin Ilo 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 Kevin Ilo was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.