CHRISTOPHER T KROODSMA (M.D.) – Dermatology Physician, NPI 1336230051
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for CHRISTOPHER T KROODSMA (M.D.)
5401 N KNOXVILLE AVE STE 115
PEORIA, IL 616145068
Phone: (309) 691-2903
Fax: (309) 691-2909
Type: Mailing
5401, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61614, United States
SUITE 115
PEORIA, IL 616145098
Phone: (309) 691-2903
Fax: (309) 691-2909
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $743.
Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Amgen Inc. ($178).
Total Amount
$743
General + Research + Ownership
Payments
31
Total payment records
General Amount
$743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $178 |
| Novartis Pharmaceuticals Corporation | $157 |
| ABBVIE INC. | $113 |
| Lilly USA, LLC | $65 |
| Sun Pharmaceutical Industries Inc. | $37 |
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: 2004-08-04
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 |
|---|---|---|---|---|
| I20040804001835 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,936 | 572 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,526 | 1,108 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,522 | 1,061 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 460 | 362 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 458 | 383 | $0 |
Insurance plans in this area (ZIP 61614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL |
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