Doctor profile · Federal record
Dr. Elizabeth Kertowidjojo
Anatomic Pathology Physician (CMS: Pathology) · Chicago, IL
- NPI 1659767259
- Accepts Medicare
- MIPS 87.7 / 100 · 2023
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5841 S Maryland Ave
Chicago, IL 606371443
(888) 824-0200 - Mailing address
-
150 Harvester Dr, Suite 300
Burr Ridge, IL 605275919
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- October 24, 2022
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207ZP0101X — NUCC code
- State license (1)
- Illinois #036155653
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659767259. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
705
Distinct HCPCS
9
Medicare allowed
$40,910
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
88305 |
Pathology examination of tissue using a microscope, intermediate complexity | 275 | 149 | $38 | |
88341 |
Special stained specimen slides to examine tissue, each additional procedure | 123 | 36 | $29 | |
88307 |
Pathology examination of tissue using a microscope, moderately high complexity | 87 | 61 | $82 | |
88321 |
Surgical pathology consultation and report on referred slides prepared elsewhere | 58 | 58 | $87 | |
88342 |
Special stained specimen slides to examine tissue, initial procedure | 57 | 48 | $35 | |
G0416 |
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 36 | 36 | $180 | |
88309 |
Pathology examination of tissue using a microscope, high complexity | 31 | 29 | $142 | |
88360 |
Microscopic genetic analysis of tumor, manual | 21 | 17 | $42 | |
88331 |
Pathology examination of specimen during surgery, first tissue block | 17 | 11 | $63 |
In context: peer comparison
Among 11 peers in Chicago Anatomic Pathology Physician, average services per provider: 92. This provider delivers 7.7× the peer median.Frequently asked questions
What is Dr. Elizabeth Kertowidjojo's medical specialty?
Dr. Elizabeth Kertowidjojo practices Anatomic Pathology Physician in Chicago, IL.
Where does Dr. Elizabeth Kertowidjojo practice?
Dr. Elizabeth Kertowidjojo practices at 5841 S Maryland Ave, Chicago, IL 606371443. Office phone: 8888240200.
What is Dr. Elizabeth Kertowidjojo's NPI?
Dr. Elizabeth Kertowidjojo's National Provider Identifier (NPI) is 1659767259, issued by NPPES.
Does Dr. Elizabeth Kertowidjojo accept Medicare assignment?
Yes. Dr. Elizabeth Kertowidjojo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Elizabeth Kertowidjojo commonly perform?
Top Medicare-reported procedures in 2023: Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Special stained specimen slides to examine tissue, each additional procedure (HCPCS 88341); Pathology examination of tissue using a microscope, moderately high complexity (HCPCS 88307). Source: CMS Medicare Physician & Other Practitioners file.