DR. JEREMY L KROCK (DO) – Anesthesiology Physician, NPI 1073501359

DR. JEREMY L KROCK (DO) is a healthcare provider. based in Peoria, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 036093120 (IL). The NPI Number for DR. JEREMY L KROCK (DO) is 1073501359

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY L KROCK (DO)
NPI
1073501359
Phone
(309) 692-5393
Address
8600 N STATE ROUTE 91
Enumeration Date
11 October 2005
Last Update Date
3 August 2010

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3096552000
Graduation Year
1984 (42 years ago)
PAC ID
2365637105
Group Practice PAC ID
6305744129
Professional Enrollment ID
I20101105001333
Address ID
IL616370001PE530XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DR. JEREMY L KROCK (DO)

  • 91, I 74, Peoria, Peoria County, Illinois, 61636, United States

    SUITE 250

    PEORIA, IL 616159541

    Phone: (309) 692-5393

    Fax: (309) 692-2538

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($66).

Total Amount

$105

General + Research + Ownership

Payments

5

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-05

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
I20101105001333IAnesthesiologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61615)

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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: 6305744129View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMD
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Pain Management, AnesthesiologyIL
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
-MO

Reviews

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Frequently asked questions

How is DR. JEREMY L KROCK (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. JEREMY L KROCK (DO) with NPI 1073501359.
Does CMS list DR. JEREMY L KROCK (DO) as active?
Yes — DR. JEREMY L KROCK (DO) is active in the NPI listing used on this page.
What is DR. JEREMY L KROCK (DO)'s primary classification?
Anesthesiology Physician is the headline specialty for DR. JEREMY L KROCK (DO) here. Clinical services aligned with this taxonomy classification.
Where is DR. JEREMY L KROCK (DO) based?
DR. JEREMY L KROCK (DO) is tied to Peoria, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about DR. JEREMY L KROCK (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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