ELLEN V. KROIN
NPI 1053738385
Orthopaedic Surgery - Hand Surgery in Lake Forest, IL

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045(847) 535-8500 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2022, Jan 6, 2021, Sep 22, 2020 (3 updates tracked since 2020).

About Ellen V. Kroin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN V. KROIN (NPI 1053738385) is an individual hand surgery provider in Lake Forest, Illinois, licensed in Illinois (036-152997) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Rush Medical College Of Rush University (2014).

NPPES Registry Identity

NPI1053738385
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameELLEN V. KROIN
Location Address1000 N WESTMORELAND RDLake Forest, IL 60045-1658
Mailing Address1000 N Westmoreland RdLake Forest, IL 60045-1658 · (847) 535-8500
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateMarch 2, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1053738385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in IL · 036-152997 Licensed in CA · A161234
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 125065457 (IL)
1000 N WESTMORELAND RD, Lake Forest, IL 60045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ellen V. Kroin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517268436
PECOS Enrollment IDI20201130002475
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
132 services132 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
132 services54 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
53 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services42 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
47 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physical Therapist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Kroin's NPI number?

The NPI number for Ellen Kroin is 1053738385. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Ellen Kroin located?

Ellen Kroin practices at 1000 N Westmoreland Rd, Lake Forest, IL 60045. The listed phone number is (847) 535-8500.

What is Ellen Kroin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Ellen Kroin enrolled in Medicare?

Yes. Ellen Kroin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ellen Kroin affiliated with any hospitals?

According to CMS data, Ellen Kroin is affiliated with Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Ellen Kroin was last updated on March 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.