DR. KENNETH EDWARD KRUCZEK (D.O) – Internal Medicine Physician, NPI 1306849419

DR. KENNETH EDWARD KRUCZEK (D.O) is a healthcare provider. based in Lubbock, Texas. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials D.O. They hold a License No. E6120 (TX). The NPI Number for DR. KENNETH EDWARD KRUCZEK (D.O) is 1306849419

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH EDWARD KRUCZEK (D.O)
NPI
1306849419
Phone
(806) 725-5844
Address
3420 22ND PL
Enumeration Date
23 May 2005
Last Update Date
17 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067251000
Graduation Year
1976 (50 years ago)
PAC ID
7416089057
Group Practice PAC ID
3476688318
Professional Enrollment ID
I20100719000182
Address ID
TX794245781LU9812XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,297 HOSPITALIST in TX

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Provider Addresses for DR. KENNETH EDWARD KRUCZEK (D.O)

  • 22nd Place, Heart of Lubbock, Lubbock, Texas, 79411, United States of America

    LUBBOCK, TX 794101314

    Phone: (806) 725-5844

    Fax: (806) 723-6532

    Type: Mailing

  • 21st Street, Slaton-Bean, Lubbock, Texas, 79411, United States of America

    SUITE 605

    LUBBOCK, TX 794101212

    Phone: (806) 725-4130

    Fax: (806) 723-7137

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Inari Medical, Inc. ($62).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-25

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: 2010-07-19

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
I20100719000182IHospitalistTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes367127$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes158152$0
99239Hospital discharge day management, more than 30 minutes8989$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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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: 3476688318View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KENNETH EDWARD KRUCZEK (D.O)?
NPI 1306849419 is assigned to DR. KENNETH EDWARD KRUCZEK (D.O) under the national enumeration system.
Is DR. KENNETH EDWARD KRUCZEK (D.O) currently active in the NPI registry?
CMS-published data lists DR. KENNETH EDWARD KRUCZEK (D.O) as an active registrant.
What kind of provider is DR. KENNETH EDWARD KRUCZEK (D.O)?
The page reflects Internal Medicine Physician for DR. KENNETH EDWARD KRUCZEK (D.O). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KENNETH EDWARD KRUCZEK (D.O)?
The snapshot lists Lubbock, Texas for DR. KENNETH EDWARD KRUCZEK (D.O); download NPPES for the complete set.
How can I contact DR. KENNETH EDWARD KRUCZEK (D.O)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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