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Active NPI 1588243984 Individual Practitioner Male Practitioner

Dr. Ersta Putra Ferryanto , DPM

Podiatrist • Glenview, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ersta Ferryanto, DPM is a certified Podiatrist practicing in Glenview, IL. With approximately 5 years of clinical experience since graduating from College Of Podiatric Med And Surgery, Des Moines University in 2021, Dr. Ferryanto delivers high-quality medical care to the local community at 2200 WAUKEGAN RD STE FGH.

Dr. Ferryanto maintains professional affiliations with Performance Podiatry Partners, Llc, Elevate Active Health Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of foot, minimum of 3 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Waukegan Rd Ste Fgh

Glenview, IL 600251759

Telephone 8475587670
Fax 8882023110
Associated Practice Facility / Clinic
🏢 Elevate Active Health Pllc Facility NPI 1164296224

Medicare Profile & Education

Medical School

College Of Podiatric Med And Surgery, Des Moines University

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Glenview, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -17.8 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Glenview, IL (647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ferryanto (5 Years) 5 Yrs
Glenview Specialty Average (22.8 Years) 22.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
28 19 $156.04 $94.05
73630 X-ray of foot, minimum of 3 views
15 11 $62.76 $35.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $234.02 $116.63

Medical Specialties & State Licenses

CMS Verified: 2026-02-23
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License IL 016006049

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.

Hospital & Practice Group Affiliations

Elevate Active Health Pllc

2200 Waukegan Rd, Glenview, IL 600251759

Phone: 8475587670

Performance Podiatry Partners, Llc

4805 N Claremont Ave, Chicago, IL 606253791

Phone: 3125793150

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Bruce Noxon , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1043263171

Doctor of Podiatric Medicine

NPI 1295430775

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 23, 2026

Registered at 2200 WAUKEGAN RD STE FGH, GLENVIEW, IL 600251759 (Tel: 8475587670)

📍
Updated Business Mailing Address February 23, 2026

Registered at 2200 WAUKEGAN RD STE FGH, GLENVIEW, IL 600251759 (Tel: 8475587670)

📍
Updated Practice Location July 15, 2024

Registered at 4805 N CLAREMONT AVE UNIT 1, CHICAGO, IL 606253791 (Tel: 6785496468)

📍
Updated Business Mailing Address July 15, 2024

Registered at 4805 N CLAREMONT AVE UNIT 1, CHICAGO, IL 606253791 (Tel: 6785496468)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2024

Podiatrist (License #016006049 in IL)

NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2021

Registered at 2900 N LAKE SHORE DR, CHICAGO, IL 606575640 (Tel: 7736656730)

📍
Updated Business Mailing Address April 05, 2021

Registered at 370 RONAN AVE, GILROY, CA 950207221 (Tel: 6785496468)

👤
Provider Name / Credentials Updated April 05, 2021

Recorded as ERSTA FERRYANTO, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588243984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: February 23, 2026
Sole Proprietor: Yes

Mailing Address

2200 Waukegan Rd Ste Fgh

Glenview, IL 600251759

Phone: 8475587670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.