DR. KENNETH H ZYGMUNT DPM
NPI 1154325074
Podiatrist in Naperville, IL
NPI Status: Active since June 09, 2005
Contact Information
552 S WASHINGTON ST
STE 116
NAPERVILLE, IL
ZIP 60540
Phone: (630) 983-5694
Fax: (630) 983-5632
- Individual
- Male
- Podiatrist
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About KENNETH ZYGMUNT
This page provides the complete NPI Profile along with additional information for Kenneth Zygmunt, a provider established in Naperville, Illinois with a medical specialization in Podiatrist. The healthcare provider is registered in the NPI registry with number 1154325074 assigned on June 2005. The practitioner's primary taxonomy code is 213E00000X with license number 016003250 (IL). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1154325074
- Provider Name
- DR. KENNETH H ZYGMUNT DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 552 S WASHINGTON ST STE 116 NAPERVILLE, IL 60540
- Location Phone
- (630) 983-5694
- Location Fax
- (630) 983-5632
- Mailing Address
- 552 S WASHINGTON ST STE 116 NAPERVILLE, IL 60540
- Mailing Phone
- (630) 983-5694
- Mailing Fax
- (630) 983-5632
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-09-2005
- Last Update Date
- 01-19-2011
- Code Navigator
A podiatrist like Kenneth Zygmunt provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 016003250
- License State
- IL
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02230069 | OTHER (01) | IL | BLUE CROSS/BLUE SHIELD |
| 951380 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| T36979 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Kenneth Zygmunt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60540 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.02
- Minimum New Patient Price $59.81
- Maximum New Patient Price $181.38
- Average New Patient Copayment $23.25
- Minimum New Patient Copayment $14.95
- Maximum New Patient Copayment $45.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.38
- Minimum Established Patient Price $19.15
- Maximum Established Patient Price $147.12
- Average Established Patient Copayment $18.59
- Minimum Established Patient Copayment $4.78
- Maximum Established Patient Copayment $36.78
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Documentation of Current Medications in the Medical Record | 100% | 3989 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Pneumococcal Vaccination Status for Older Adults | 83% | 746 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 1325 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 3 | 2 | 5 | 0 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 2 | 10 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 2 + 1 + 0 + 0 + 1 + 4 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1154325074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518964808 | DR. DAVID J. LAWRENCE D.P.M. Individual | Podiatrist | 552 S WASHINGTON ST STE 116 NAPERVILLE, IL 60540 (630) 983-5694 |
| 1831218056 | MR. CHRISTOPHER MICHAL ELLBOGEN M.T. Individual | Massage Therapist | 552 S WASHINGTON ST SUITE 117 NAPERVILLE, IL 60540 (630) 961-9636 |
| 1992824106 | UNIVERSITY FOOT SPECIALISTS LTD Organization | Podiatrist (Foot & Ankle Surgery) | 552 S WASHINGTON ST STE 116 NAPERVILLE, IL 60540 (630) 983-5694 |
| 1235345562 | UNIVERSITY FOOT AND ANKLE SURGICAL FACILITY Organization | Surgery (Hospice and Palliative Medicine) | 552 S WASHINGTON ST SUITE 116 NAPERVILLE, IL 60540 (630) 983-5694 |
| 1245400738 | DR. DOUGLAS TAYLOR ANDERSON DDS Individual | Dentist | 552 S WASHINGTON ST SUITE 220 NAPERVILLE, IL 60540 (630) 357-2525 |
| 1043459985 | UNIVERSITY FOOT SPECIALISTS LTD Organization | Podiatrist (Foot & Ankle Surgery) | 552 S WASHINGTON ST SUITE 116 NAPERVILLE, IL 60540 (630) 983-5694 |
| 1225336985 | BEATA LEZERKIEWICZ DDSPC Organization | Dentist (General Practice) | 552 S WASHINGTON ST SUITE 216 NAPERVILLE, IL 60540 (630) 369-3200 |
| 1548365356 | MRS. MARJORIE A ARCHBOLD MA LCPC Individual | Counselor (Professional) | 552 S WASHINGTON ST SUITE 119 NAPERVILLE, IL 60540 (630) 640-3108 |
| 1174982078 | QUEST COUNSELING AND WELLNESS Organization | Counselor (Professional) | 552 S WASHINGTON ST SUITE 119 NAPERVILLE, IL 60540 (630) 640-3108 |
| 1871954065 | LIFEWORKS COUNSELING Organization | Counselor (Professional) | 552 S WASHINGTON ST #119 NAPERVILLE, IL 60540 (630) 640-3108 |
| 1588195523 | JESSICA N FLYNN, S.C. Organization | Chiropractor | 552 S WASHINGTON ST SUITE 120 NAPERVILLE, IL 60540 (810) 569-3073 |
| 1447754262 | NICK MCDOANLD COUNSELLING SERVICES INCORPORATED Organization | Counselor (Professional) | 552 S WASHINGTON ST NAPERVILLE, IL 60540 (708) 663-2249 |
| 1073381547 | RACHEL WEEKS, PC Organization | Social Worker (Clinical) | 552 S WASHINGTON ST NAPERVILLE, IL 60540 (312) 924-1884 |
| 1588294813 | RACHEL ANNE WEEKS LSW, CWEL Individual | Social Worker | 552 S WASHINGTON ST NAPERVILLE, IL 60540 (630) 465-5960 |
| 1831941558 | TRAVEL HEALTH PARTNERS IL PLLC Organization | Community Health Worker | 552 S WASHINGTON ST SUITE 203 NAPERVILLE, IL 60540 (844) 358-8648 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154325074, enumerated in the NPI registry as an "individual" on June 09, 2005
The provider is located at 552 S Washington St Ste 116 Naperville, Il 60540 and the phone number is (630) 983-5694
The provider's speciality is Podiatrist with taxonomy code 213E00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $93.02 with an average copayment of $23.25 for new patient appointments. Established patients should expect a typical charge of $74.38 and an average copayment of 18.59. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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