TROY R. KARLSSON (M.D.) – Orthopaedic Surgery Physician, NPI 1114913910
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
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Provider Addresses for TROY R. KARLSSON (M.D.)
1860 PAYSPHERE CIR
CHICAGO, IL 606743698
Phone: (630) 469-9200
Type: Mailing
Rickert Drive, Naperville, Naperville Township, DuPage County, Illinois, 60540, United States
NAPERVILLE, IL 605408904
Phone: (630) 790-1872
Type: Location
PO BOX 713260
CHICAGO, IL 606771260
Phone: (630) 469-9200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($23).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED | $23 |
| DJO, LLC | $21 |
| Smith+Nephew, Inc. | $20 |
| DePuy Synthes Sales Inc. | $15 |
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: 2010-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100914001232 | I | Orthopedic Surgery | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 4,008 | 241 | $0 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 2,820 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 521 | 360 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 425 | 253 | $0 |
| 73564 | X-ray of knee, 4 or more views | 219 | 194 | $0 |
Insurance plans in this area (ZIP 60674)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Radiation Oncology | IL | |
| Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Family Practice | IL | |
| P S Y C H I A T R Y | IL | |
| Physician Assistant | IL | |
| Family Practice | IL |
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