Doctor profile · Federal record
Dr. KERRY PITCHFORD, APRN, FNP-BC
Nurse Practitioner · Emergency Registered Nurse · Family Nurse Practitioner · MOUNT VERNON, IL
- NPI 1205455763
- Accepts Medicare
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
602 S 42ND ST
MOUNT VERNON, IL 628646264
(618) 899-3278 - Additional location
-
1491 Burge Rd
Centralia, IL 628019537
(618) 267-9616 - Mailing address
-
PO BOX 955860
SAINT LOUIS, MO 631959537
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- August 4, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- Illinois #209021133 · Illinois #041378652
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205455763. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
112
Distinct HCPCS
3
Medicare allowed
$9,164
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 62 | 59 | $79 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $112 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 23 | 22 | $55 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 93. This provider delivers 1.2× the peer median.Open Payments
Industry payments received
All-time total
$68
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $34.89 | |
| Medtronic, Inc. | 1 | $17.76 | |
| Novo Nordisk Inc | 1 | $15.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
51
Patients
23
Total drug cost
$466
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 14 | 0 | $114 |
| Pantoprazole Sodium | Generic | 13 | 0 | $164 |
| Tramadol Hcl | Generic | 13 | 12 | $31 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 11 | 11 | $157 |