DR. MARTIN RYAN FETZER D.O.
NPI 1649499476
Physical Medicine & Rehabilitation - Pain Medicine in Lombard, IL

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
1801 S HIGHLAND AVE STE 220, LOMBARD, IL 60148(630) 967-2225(630) 241-6906 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, Jul 18, 2022, Feb 11, 2021 (3 updates tracked since 2021).

About Dr. Martin Ryan Fetzer D.o. NPPES

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

DR. MARTIN RYAN FETZER D.O. (NPI 1649499476) is an individual pain medicine provider in Lombard, Illinois, licensed in Illinois (036129085) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1649499476
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. MARTIN RYAN FETZERCredential: D.O.
Location Address1801 S HIGHLAND AVE STE 220Lombard, IL 60148-4932
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Fax(630) 241-6906
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
NPI 1649499476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in IL · 036129085
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License OS014454 (PA), 5101017042 (MI), 036129085 (IL)
1801 S HIGHLAND AVE STE 220, Lombard, IL 60148

Other Identifiers 1

Medicaid036129085IL

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. Martin Ryan Fetzer 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 ID4981884780
PECOS Enrollment IDI20111230000609
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 19

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
543 services310 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
387 services227 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
245 services245 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
227 services46 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
148 services114 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
134 services105 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

Urology
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148
Orthopaedic Surgery (Hand Surgery)
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148
Physician Assistant
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148
Orthopaedic Surgery
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148
Orthopaedic Surgery
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148
Orthopaedic Surgery
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148
Otolaryngology
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148
Physician Assistant
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 60148

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 Martin Fetzer's NPI number?

The NPI number for Martin Fetzer is 1649499476. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Martin Fetzer located?

Martin Fetzer practices at 1801 S Highland Ave Ste 220, Lombard, IL 60148. The listed phone number is (630) 967-2225.

What is Martin Fetzer's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Martin Fetzer enrolled in Medicare?

Yes. Martin Fetzer 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.

Is Martin Fetzer affiliated with any hospitals?

According to CMS data, Martin Fetzer is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Martin Fetzer was last updated on August 7, 2023. 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.