Active NPI 1699883868 Individual Practitioner Male Practitioner

Dr. Kenneth R. Krock , MD

Internal Medicine • Canton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Krock, MD is a certified Internal Medicine practicing in Canton, IL. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Krock delivers high-quality medical care to the local community at 180 S MAIN ST.

Dr. Krock is affiliated with Graham Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 S Main St

Canton, IL 615202608

Telephone 3096470201

Fax 3096496880

Associated Practice Facility / Clinic

🏢 Spoon River Hearing Services Inc Facility NPI 1003030115

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Canton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +6.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Canton, IL (7544 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Krock (35 Years) 35 Yrs

Canton Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	453	84	$109.50	$81.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	87	$206.47	$134.58
99238 Hospital discharge day management, 30 minutes or less	106	79	$109.35	$82.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	627	103	$109.50	$78.02
99238 Hospital discharge day management, 30 minutes or less	125	90	$109.35	$79.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	94	$206.47	$128.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	438	109	$109.50	$69.65
99238 Hospital discharge day management, 30 minutes or less	119	97	$109.35	$69.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99	84	$206.47	$132.38
99219 Hospital observation care, typically 50 minutes	48	45	$204.63	$129.66
99217 Hospital observation care on day of discharge	19	18	$109.35	$69.40
99225 Subsequent observation care, typically 25 minutes per day	15	14	$110.00	$69.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	540	101	$109.41	$70.96
99238 Hospital discharge day management, 30 minutes or less	109	84	$109.35	$70.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	84	$206.47	$134.50
99219 Hospital observation care, typically 50 minutes	56	50	$204.63	$132.77
99217 Hospital observation care on day of discharge	32	29	$109.35	$70.87
99225 Subsequent observation care, typically 25 minutes per day	27	19	$110.00	$70.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	677	122	$109.29	$73.09
99238 Hospital discharge day management, 30 minutes or less	165	117	$109.35	$73.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	149	104	$206.47	$139.91
99219 Hospital observation care, typically 50 minutes	64	60	$204.63	$137.04
99225 Subsequent observation care, typically 25 minutes per day	62	32	$110.00	$73.06
99217 Hospital observation care on day of discharge	40	38	$109.35	$72.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	613	138	$126.77	$72.71
99238 Hospital discharge day management, 30 minutes or less	184	134	$127.24	$72.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	158	122	$242.38	$137.14
99219 Hospital observation care, typically 50 minutes	61	52	$239.84	$135.91
99225 Subsequent observation care, typically 25 minutes per day	47	30	$128.08	$73.04
99217 Hospital observation care on day of discharge	46	40	$127.08	$72.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	598	126	$157.84	$72.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	162	111	$292.58	$135.68
99238 Hospital discharge day management, 30 minutes or less	161	106	$157.52	$71.98
99219 Hospital observation care, typically 50 minutes	57	51	$270.19	$134.78
99225 Subsequent observation care, typically 25 minutes per day	39	22	$165.55	$72.29
99217 Hospital observation care on day of discharge	38	36	$157.10	$71.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	417	112	$167.56	$70.01
99238 Hospital discharge day management, 30 minutes or less	134	103	$169.75	$69.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	123	99	$309.93	$133.48
99219 Hospital observation care, typically 50 minutes	58	53	$266.12	$132.09
99225 Subsequent observation care, typically 25 minutes per day	49	25	$187.27	$70.60
99217 Hospital observation care on day of discharge	41	38	$171.94	$70.28
81003 Automated urinalysis test	20	20	$25.50	$3.02

Medical Specialties & State Licenses

CMS Verified: 2021-04-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036079829

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036079829

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036079829 (IL)

Commercial Insurance / Payer ID Rr Medicare Group#

CG5172 (IL)

Commercial Insurance / Payer ID Bcbs

02922981 (IL)

Commercial Insurance / Payer ID Black Lung

200397 (IL)

Commercial Insurance / Payer ID Health Alliance

013495 (IL)

Commercial Insurance / Payer ID Npi Clinic Number

194215197 (IL)

Commercial Insurance / Payer ID Umwa

0062839 (IL)

Commercial Insurance / Payer ID Rr Medicare Pin

110200867 (IL)

Commercial Insurance / Payer ID Health Link

180741 (IL)

Commercial Insurance / Payer ID Osf Healthplans

079829 (IL)

Hospital & Practice Group Affiliations

Graham Hospital Association

180 S Main St, Canton, IL 615202608

Phone: 3096470201

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. A Savegnago , MD

Family Medicine

NPI 1003924085

Doctor of Medicine (M.D.)

Dr. John Mccarthy , MD

Internal Medicine

NPI 1033327069

Doctor of Medicine (M.D.)

Dara Wagner , APN-C

Nurse Practitioner - Family

NPI 1063046464

APNC

Tracy Iversen , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063261345

Psychiatric-Mental Health Nurse Practitioner

Jessica Bugos , APRN

Nurse Practitioner

NPI 1063976058

Advanced Practice Registered Nurse

Stephen Westhafer

Nurse Practitioner - Family

NPI 1093550436

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2016

Registered at 180 S MAIN ST, CANTON, IL 615202608 (Tel: 3096470201)

📍

Updated Business Mailing Address April 15, 2016

Registered at 180 S MAIN ST, CANTON, IL 615202608 (Tel: 3096470201)

👤

Provider Name / Credentials Updated April 15, 2016

Recorded as KENNETH KROCK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2016

Internal Medicine (License #036079829 in IL)

🟢

Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699883868

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 28, 2006

Last Update: April 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

180 S Main St

Canton, IL 615202608

Phone: 3096470201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.