Doctor profile · Federal record
Dr. Kenneth Justesen, D.O.
Anesthesiology Physician (CMS: Anesthesiology) · Rockford, IL
- NPI 1174607121
- Accepts Medicare
- MIPS 91.3 / 100 · 2023
- 35 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5875 E Riverside Blvd
Rockford, IL 611144937
(815) 398-9491
fax (815) 381-7498 - Mailing address
-
Po Box 735263
Chicago, IL 606735263
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- November 14, 2023
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Illinois #036088819
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174607121. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
237
Distinct HCPCS
10
Medicare allowed
$40,012
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36620 |
Insertion of artery tube for blood sampling or infusion through skin | 43 | 43 | $44 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 35 | 35 | $130 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 32 | 31 | $142 | |
00142 |
Anesthesia for lens surgery | 28 | 27 | $138 | |
76937 |
Ultrasonic guidance for blood vessel access | 25 | 25 | $14 | |
00560 |
Anesthesia for procedure on heart and large blood vessels | 17 | 17 | $502 | |
36556 |
Insertion of non-tunneled central venous tube for infusion (5 years or older) | 17 | 17 | $84 | |
93312 |
Ultrasound of heart with probe in esophagus, with report | 16 | 16 | $103 | |
00567 |
Anesthesia for heart artery bypass grafting on heart-lung machine | 12 | 12 | $936 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 12 | 12 | $163 |
In context: peer comparison
Among 20 peers in Rockford Anesthesiology Physician, average services per provider: 24. This provider delivers 9.9× the peer median.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $21.20 |
By nature of payment
Frequently asked questions
What is Dr. Kenneth Justesen's medical specialty?
Dr. Kenneth Justesen practices Anesthesiology Physician in Rockford, IL.
Where does Dr. Kenneth Justesen practice?
Dr. Kenneth Justesen practices at 5875 E Riverside Blvd, Rockford, IL 611144937. Office phone: 8153989491.
What is Dr. Kenneth Justesen's NPI?
Dr. Kenneth Justesen's National Provider Identifier (NPI) is 1174607121, issued by NPPES.
Does Dr. Kenneth Justesen accept Medicare assignment?
Yes. Dr. Kenneth Justesen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Justesen commonly perform?
Top Medicare-reported procedures in 2023: Insertion of artery tube for blood sampling or infusion through skin (HCPCS 36620); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.