Doctor profile · Federal record

Dr. Kyle Blievernicht, MOT

Occupational Therapist (CMS: Occupational Therapist in Private Practice) · Glen Carbon, IL

  • NPI 1154970721
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4955 S State Route 159 Ste B
Glen Carbon, IL 620341907
(618) 288-4677
fax (618) 288-4699

Credentials & registration

NPPES · NUCC
NPI registered
September 2019 — 7 yrs on file
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
225X00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154970721. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
125
Distinct HCPCS
3
Medicare allowed
$2,865
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 47 18 $27
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 41 14 $20
97535 Training for self-care or home management, each 15 minutes 37 12 $21

In context: peer comparison

Among 1 peers in this city , average services per provider: 41. This provider delivers 3.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kyle Blievernicht's medical specialty?
Dr. Kyle Blievernicht practices Occupational Therapist in Glen Carbon, IL.
Where does Dr. Kyle Blievernicht practice?
Dr. Kyle Blievernicht practices at 4955 S State Route 159 Ste B, Glen Carbon, IL 620341907. Office phone: 6182884677.
What is Dr. Kyle Blievernicht's NPI?
Dr. Kyle Blievernicht's National Provider Identifier (NPI) is 1154970721, issued by NPPES.
Does Dr. Kyle Blievernicht accept Medicare assignment?
Yes. Dr. Kyle Blievernicht accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyle Blievernicht commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Training for self-care or home management (HCPCS 97535). Source: CMS Medicare Physician & Other Practitioners file.