WARREN G KRUCKMEYER (MD) – Family Medicine Physician, NPI 1023002383

WARREN G KRUCKMEYER (MD) is a healthcare provider. based in Wauconda, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036067571 (IL). The NPI Number for WARREN G KRUCKMEYER (MD) is 1023002383

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
WARREN G KRUCKMEYER (MD)
NPI
1023002383
Phone
(847) 795-3350
Address
224 BROWN ST
Enumeration Date
1 September 2005
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
2961582135
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20071231000481
Address ID
IL600146258CR525XXPKWY400

Contacts

Secure Messaging
wkruckmeyer206344@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

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Provider Addresses for WARREN G KRUCKMEYER (MD)

  • 224, Brown Street, Wauconda, Illinois, 60084, United States

    WAUCONDA, IL 600841747

    Phone: (847) 795-3350

    Fax: (847) 487-2841

    Type: Location

  • 350, Surryse Road, Lake Zurich Highlands, Lake Zurich, Illinois, 60047, United States

    SUITE 100

    LAKE ZURICH, IL 600472313

    Phone: (847) 438-2144

    Fax: (847) 438-1597

    Type: Mailing

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone: (847) 390-5900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071231000481IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes408192$0
36415Insertion of needle into vein for collection of blood sample399176$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9090$0
99215Established patient office or other outpatient visit, 40-54 minutes7756$0
G0008Administration of influenza virus vaccine4645$0
View full utilization report →

Insurance plans in this area (ZIP 60084)

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Provider's Procedures

WARREN G KRUCKMEYER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL81002Urinalysis, manual test3025
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

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Frequently asked questions

What identifier follows WARREN G KRUCKMEYER (MD) across health systems?
The NPI 1023002383 uniquely identifies WARREN G KRUCKMEYER (MD) in U.S. healthcare data.
Is WARREN G KRUCKMEYER (MD)'s NPI status active today?
Active status means WARREN G KRUCKMEYER (MD)'s NPI record is not deactivated in the public file.
What type of care does WARREN G KRUCKMEYER (MD) provide?
WARREN G KRUCKMEYER (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to WARREN G KRUCKMEYER (MD)?
The directory associates WARREN G KRUCKMEYER (MD) with Wauconda, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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