DAVID F KROON M.D.
NPI 1104854991
Otolaryngology in Flemington, NJ

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
96.43/100
CMS Quality Rating
6 SAND HILL RD, SUITE 302, FLEMINGTON, NJ 08822(908) 788-9131(908) 788-8094 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David F Kroon M.d. NPPES

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

DAVID F KROON M.D. (NPI 1104854991) is an individual otolaryngology provider in Flemington, New Jersey, licensed in New Jersey (25MA0761990) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Rutgers New Jersey Medical School (1998).

NPPES Registry Identity

NPI1104854991
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDAVID F KROONCredential: M.D.
Location Address6 SAND HILL RD, SUITE 302Flemington, NJ 08822-4946
Mailing Address6 Sand Hill Rd, Suite 302Flemington, NJ 08822-4946 · (908) 788-9131 · Fax (908) 788-8094
Fax(908) 788-8094
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1998
Enumeration DateJune 29, 2006
Last NPPES UpdateNovember 1, 2011
NPI 1104854991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NJ · 25MA0761990
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
6 SAND HILL RD, Flemington, NJ 08822

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

David F Kroon M.d. 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 ID547222531
PECOS Enrollment IDI20041102000332
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 9

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.

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.
335 services267 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
167 services167 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
157 services124 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
78 services77 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
68 services56 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
56 services52 patients

Hospital Affiliations CMS Care Compare

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

96.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost88.11

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.

Physician Assistant (Surgical)
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Orthopaedic Surgery
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Registered Nurse (Registered Nurse First Assistant)
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Pediatrics
6 SAND HILL RD, SUITE 202
FLEMINGTON, NJ 08822
Dentist (Pediatric Dentistry)
6 SAND HILL RD
FLEMINGTON, NJ 08822
Pediatrics
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Otolaryngology
6 SAND HILL RD, SUITE 302
FLEMINGTON, NJ 08822
Physician Assistant (Surgical)
6 SAND HILL RD, STE 102
FLEMINGTON, NJ 08822

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 David Kroon's NPI number?

The NPI number for David Kroon is 1104854991. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is David Kroon located?

David Kroon practices at 6 Sand Hill Rd Suite 302, Flemington, NJ 08822. The listed phone number is (908) 788-9131.

What is David Kroon's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Kroon enrolled in Medicare?

Yes. David Kroon 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 David Kroon affiliated with any hospitals?

According to CMS data, David Kroon is affiliated with Hunterdon Medical Center.

When was this NPI record last updated?

The NPPES record for David Kroon was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.