KERSTIN M STENSON MD
NPI 1861557605
Otolaryngology in Chicago, IL

Active since December 22, 2006PECOS EnrolledAccepts Medicare Assignment
1611 W HARRISON ST STE 550, CHICAGO, IL 60612(312) 942-0392 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kerstin M Stenson Md NPPES

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

KERSTIN M STENSON MD (NPI 1861557605) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (036082284) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1988).

NPPES Registry Identity

NPI1861557605
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKERSTIN M STENSONCredential: MD
Location Address1611 W HARRISON ST STE 550Chicago, IL 60612-4861
Mailing Address1611 W Harrison St Ste 550Chicago, IL 60612-4861
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1988
Enumeration DateDecember 22, 2006
Last NPPES UpdateAugust 11, 2014
NPI 1861557605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IL · 036082284
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1611 W HARRISON ST STE 550, Chicago, IL 60612

Other Identifiers 2

Medicare ID-Type UnspecifiedL31654
Medicaid036082284IL

Accepted 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

Kerstin M Stenson 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 ID1951594175
PECOS Enrollment IDI20101020001089
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 10

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.
164 services119 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.
111 services78 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
92 services72 patients
Exam of windpipe and lung airways through permanent windpipe opening using an endoscope 31615
This procedure involves examining your windpipe and lung airways through a permanent opening in your windpipe. An endoscope, a thin tube with a light and camera, is used to visualize these areas. The goal is to diagnose or monitor conditions affecting your respiratory system.
25 services11 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.
25 services25 patients
Extensive or complicated repair of surface wound reopening 13160
This procedure involves the repair of a surface wound that has reopened. It may be extensive or complex due to the wound's size, depth, or location. The process includes cleaning the wound, removing any damaged tissue, and stitching it closed to promote healing.
21 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers54 claims1,258 services$2.73 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
2 suppliers16 claims460 services$3.79 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,156 services$0.34 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers59 claims36,581 services$0.28 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims8,834 services$0.58 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$4.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Otolaryngology (Otology & Neurotology)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Otolaryngology
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Otolaryngology
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Otolaryngology
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Nurse Practitioner (Pediatrics)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612

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 Kerstin Stenson's NPI number?

The NPI number for Kerstin Stenson is 1861557605. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Kerstin Stenson located?

Kerstin Stenson practices at 1611 W Harrison St Ste 550, Chicago, IL 60612. The listed phone number is (312) 942-0392.

What is Kerstin Stenson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kerstin Stenson enrolled in Medicare?

Yes. Kerstin Stenson 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 Kerstin Stenson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kerstin Stenson 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.

Is Kerstin Stenson affiliated with any hospitals?

According to CMS data, Kerstin Stenson is affiliated with Northshore University Healthsystem - Evanston Hospital, Copley Memorial Hospital, Rush Oak Park Hospital, Rush University Medical Center and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Kerstin Stenson was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.