Eric A. Kivisto, DO
Surgery Physician · Mendota, IL
Eric A. Kivisto, DO is a surgery physician with a practice address in Mendota, Illinois, and NPI 1447257316, issued on Jul 6, 2005. Check the license (Illinois 036091073, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Eric A. Kivisto
- Credential
- DO
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- 036091073 IL
5101011210 MI
Self-reported in NPPES; status is on the state search - Practice location
- 1405 E 12TH St, Mendota, IL 61342
- Phone
- (815) 539-1789
- Enumerated
- Jul 6, 2005
- Record last updated
- Dec 7, 2022
- Fax
- (815) 539-1430
- Medicaid ID
- 036091073 IL
- Medicare enrollment
- Enrolled (PECOS I20231024000358); accepts Medicare assignment
- Medical or professional school
- Chicago College Of Osteopathy, 1989
- Entity
- Type 1 · individual
Also registered at 1405 E 12TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jonathan EdwardsFamily Nurse Practitioner1164820312
- Caitlin Engels-ArteagaMedical Physician Assistant1790140580
- Stacy Piller, APNPrimary Care Nurse Practitioner1508319914
- Joy PreciadoFamily Nurse Practitioner1306216098
- Rebecca Salvani, M.D.Obstetrics & Gynecology Physician1801982327
- Michael Vercimak, MDSurgery Physician1366500852
Verify Eric A. Kivisto in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036091073Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
18% fewer Medicare Part D claims than the average surgery physician in 2024
121 Medicare Part D claims for 44 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
Most prescribed
- Omeprazole39 claims
- Famotidine28 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $42.70
2 payments; by number, the most common kind was food and beverage; the largest payer was Olympus America Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Crittenden Community Hospital LLCMarion, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
2 surgery physician records list a practice address in Mendota
They are 2 of the 62 NPPES records with a practice address in Mendota, and 1,520 surgery physician records in Illinois.
All 2 in Mendota → All 1,520 in Illinois → Every provider in Mendota →
Other surgery physician records in Illinois
- Douglas Aach, MDShiloh, IL1508817040
- Andrew Abadier, DOChicago, IL1124657473
- Shabirhusain Abadin, M.D.Chicago, IL1467712596
- Iftikharul Abbasy, MDOak Brook, IL1104814755
- Mahmoud Abd-El-Hafez, MDSpringfield, IL1710516943
- Samir Abdo, M.D.Eldorado, IL1578612982
- Chandrakumaran Abivarma, M.D.Park Ridge, IL1467135137
- Gerard Abood, M.DMaywood, IL1629237227
- Mohammad Abou El-Ezz, MDChicago, IL1790536746
- Gifty Abraham, M.D.Maywood, IL1881039279
Common questions
What is Eric A. Kivisto, DO's NPI number?
Eric A. Kivisto, DO's National Provider Identifier (NPI) is 1447257316, issued on Jul 6, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Eric A. Kivisto, DO located?
The NPPES record lists a practice address at 1405 E 12TH St, Mendota, IL, 61342. Phone: (815) 539-1789. Providers update this record themselves, so call before visiting.
How can I verify Eric A. Kivisto, DO's license?
NPPES lists Illinois license number 036091073, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Eric A. Kivisto, DO prescribe under Medicare Part D?
In 2024, Eric A. Kivisto, DO had 121 Medicare Part D claims for 44 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.