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Deactivated NPI 1689670200 Deactivated / Inactive NPI Male Practitioner

Dr. John A Elstrom , MD

Specialist • Mchenry, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Elstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2005
NPI Deactivation Date October 21, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Elstrom, MD was a registered Specialist practicing in Mchenry, IL. Throughout an active medical career spanning 14 years, Dr. Elstrom provided care at the practice location at 406 N. FRONT ST until profile deactivation on 2019-10-21.

Historical Medicare Part B clinical services included injection, methylprednisolone acetate, 40 mg, aspiration and/or injection of fluid large joint using ultrasound guidance, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

406 N. Front St
Ste A

Mchenry, IL 600505593

Telephone 8153443050
Fax 8153443822

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mchenry, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Mchenry, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg
210 50 $24.00 $5.42
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
63 43 $409.00 $84.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
58 39 $110.00 $40.07
99213 Established patient office or other outpatient visit, typically 15 minutes
53 45 $145.00 $67.51
73562 X-ray of knee, 3 views
36 32 $169.00 $32.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
34 30 $190.00 $101.07
73030 X-ray of shoulder, minimum of 2 views
24 13 $164.00 $26.51
72100 X-ray of lower and sacral spine, 2-3 views
17 17 $152.00 $31.03
72170 X-ray of pelvis, 1-2 views
14 14 $166.00 $27.89

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1083610612

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events
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NPI Profile Deactivated October 21, 2019

Record deactivated on October 21, 2019

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

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Updated Practice Location March 17, 2018

Registered at 1740 W TAYLOR ST, CHICAGO, IL 606127232 (Tel: 3129967161)

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Updated Business Mailing Address March 17, 2018

Registered at 466 E ILLINOIS RD, LAKE FOREST, IL 600452365 (Tel: 8475134086)

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Provider Name / Credentials Updated March 17, 2018

Recorded as JOHN ELSTROM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Orthopaedic Surgery (License #036043938 in IL)

NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 23, 2018

Registered at 1740 W TAYLOR ST, CHICAGO, IL 606127232 (Tel: 3129967161)

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Updated Business Mailing Address January 23, 2018

Registered at 466 E ILLINOIS RD, LAKE FOREST, IL 600452365 (Tel: 8475134086)

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Provider Name / Credentials Updated January 23, 2018

Recorded as JOHN ELSTROM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Orthopaedic Surgery (License #036043938 in IL)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 406 N. FRONT ST, STE A, MCHENRY, IL 600505593 (Tel: 8153443050)

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Updated Business Mailing Address July 09, 2007

Registered at 406 N. FRONT ST, STE A, MCHENRY, IL 600505593 (Tel: 8153443050)

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Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN ELSTROM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist

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Initial NPI Registration & Enumeration June 28, 2005

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: 1689670200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2005
Last Update: July 09, 2007
Deactivation Date: October 21, 2019

Mailing Address

406 N. Front St, Ste A

Mchenry, IL 600505593

Phone: 8153443050

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.