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ERIC A KIVISTO DO
NPI 1447257316
Surgery in Mendota, IL

Active since July 06, 2005PECOS EnrolledAccepts Medicare Assignment
1405 E 12TH ST, SUITE 500, MENDOTA, IL 61342(815) 539-1789(815) 539-1430 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2022, Nov 18, 2022 (2 updates tracked since 2022).

About Eric A Kivisto Do NPPES

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

ERIC A KIVISTO DO (NPI 1447257316) is an individual surgery provider in Mendota, Illinois, licensed in Illinois (036091073) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Herrin, and is a graduate of Chicago College Of Osteopathy (1989).

NPPES Registry Identity

NPI1447257316
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameERIC A KIVISTOCredential: DO
Location Address1405 E 12TH ST, SUITE 500Mendota, IL 61342-9010
Mailing Address1401 E 12th StMendota, IL 61342-9216 · (815) 539-1789 · Fax (815) 539-1430
Phone(815) 539-1789
Fax(815) 539-1430
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 1989
Enumeration DateJuly 6, 2005
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1447257316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036091073✔ Licensed in MI · 5101011210
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1405 E 12TH ST, Mendota, IL 61342
Open in Google Maps ↗

Secondary Practice Location 1

Location 1220 S Park Ave Fl 3Herrin, IL 62948-3602 · Phone (618) 942-2002

Other Identifiers 3

Other371342699IL · Fein Number
Medicaid036091073IL
Other02706617IL · Blue Cross/blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Eric A Kivisto Do 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 ID8820155963
PECOS Enrollment IDI20231024000358
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

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61342 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 8

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

JONATHAN EDWARDS
Nurse Practitioner (Family)
1405 E 12TH ST, SUITE 600
MENDOTA, IL 61342
Lasalle County (815) 538-7200
ASSOCIATED PHYSICIANS, SC
Family Medicine
1405 E 12TH ST, SUITE 300
MENDOTA, IL 61342
Lasalle County (815) 539-3141
JOY PRECIADO
Nurse Practitioner (Family)
1405 E 12TH ST, STE 300
MENDOTA, IL 61342
Lasalle County (815) 539-3141
MENDOTA COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
1405 E 12TH ST
MENDOTA, IL 61342
Lasalle County (815) 539-7461
DR. MICHAEL P VERCIMAK MD
Surgery
1405 E 12TH ST, SUITE 200
MENDOTA, IL 61342
Lasalle County (815) 539-3831
STACY A PILLER APN
Nurse Practitioner (Primary Care)
1405 E 12TH ST, STE 600
MENDOTA, IL 61342
Lasalle County (815) 538-7200
CAITLIN J ENGELS-ARTEAGA
Physician Assistant (Medical)
1405 E 12TH ST, SUITE 600
MENDOTA, IL 61342
Lasalle County (815) 538-7200
DR. REBECCA C SALVANI M.D.
Obstetrics & Gynecology
1405 E 12TH ST, SUITE 200
MENDOTA, IL 61342
Lasalle County (815) 539-1710

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 Eric Kivisto's NPI number?

The NPI number for Eric Kivisto is 1447257316. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Eric Kivisto located?

Eric Kivisto practices at 1405 E 12th St Suite 500, Mendota, IL 61342. The listed phone number is (815) 539-1789.

What is Eric Kivisto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Eric Kivisto enrolled in Medicare?

Yes. Eric Kivisto 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.

What insurance does Eric Kivisto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Eric Kivisto 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 Eric Kivisto was last updated on December 7, 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.