DR. MARK R KROLL (D.O.) – Emergency Medicine Physician, NPI 1124030499
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
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Provider Addresses for DR. MARK R KROLL (D.O.)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543240900
Phone: (920) 490-9046
Fax: (920) 405-5388
Type: Mailing
2864 SUSSEX RD
GREEN BAY, WI 543117475
Phone:
Type: Mailing
2253, West Mason Street, Green Bay, Brown County, Wisconsin, 54304, United States
GREEN BAY, WI 543034706
Phone: (920) 327-7000
Type: Location
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 $182.
Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($109).
Total Amount
$182
General + Research + Ownership
Payments
4
Total payment records
General Amount
$182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $109 |
| Dexcom, Inc. | $28 |
| ABBVIE INC. | $24 |
| Amgen Inc. | $22 |
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: 2008-11-10
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 |
|---|---|---|---|---|
| I20081110000356 | I | Family Practice | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 65 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 54324)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| U R O L O G Y | WI | |
| Cardiovascular Disease (Cardiology) | WI | |
| N E U R O L O G Y | WI | |
| - | WI | |
| Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | WI | |
| Nurse Practitioner | WI | |
| Internal Medicine | WI | |
| - | ME | |
| Physician Assistant | IL |
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