CHRISTOPHER T KROODSMA M.D.
NPI 1336230051
Dermatology in Peoria, IL

Q: What is Christopher Kroodsma's NPI number?

The NPI number for Christopher Kroodsma is 1336230051. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Christopher Kroodsma's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since September 27, 2006PECOS Enrolled

0/100

CMS Quality Rating

5401 N KNOXVILLE AVE, SUITE 115, PEORIA, IL 61614(309) 691-2903(309) 691-2909 Get Directions Write a Review

NPPES record last updated: April 22, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Christopher T Kroodsma M.d. NPPES

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

CHRISTOPHER T KROODSMA M.D. (NPI 1336230051) is an individual dermatology provider in Peoria, Illinois, licensed in Illinois (03110443) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2000).

NPPES Registry Identity

NPI1336230051

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameCHRISTOPHER T KROODSMACredential: M.D.

Location Address5401 N KNOXVILLE AVE, SUITE 115Peoria, IL 61614-5098

Mailing Address5401 N Knoxville Ave Ste 115Peoria, IL 61614-5068 · (309) 691-2903 · Fax (309) 691-2909

Phone(309) 691-2903

Fax(309) 691-2909

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2000

Enumeration DateSeptember 27, 2006

Last NPPES UpdateApril 22, 2010

✔ NPI 1336230051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in IL · 03110443

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

5401 N KNOXVILLE AVE, Peoria, IL 61614

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Other Identifiers 3

Medicare ID-Type Unspecified678830IL

Medicaid036110443IL

Medicare UPINI10227IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher T Kroodsma M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800867565

PECOS Enrollment IDI20040804001835

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.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Kroodsma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Illinois Dermatology, S.C.

Same address

Dermatology

5401 N KNOXVILLE AVE, SUITE 115
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Central Illinois Dermatology Sc
4 clinicians in this Medicare group

NPI 1548358054 (309) 691-2903

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,855 services545 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.

1,775 services1,159 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

1,622 services1,093 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

481 services401 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

329 services267 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

315 services254 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

202 services142 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 17281

This procedure involves the removal of cancerous skin growths on the face, ears, eyelids, nose, lips, or mouth that are between 0.6-1.0 cm in size. The goal is to eliminate cancer cells, preventing further spread and promoting health.

179 services145 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 17282

This procedure involves the removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that measures between 1.1 to 2.0 cm. It's done to prevent the spread of cancer and improve health.

139 services107 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 17261

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

115 services87 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 17272

This procedure involves the removal of a cancerous skin growth measuring 1.1-2.0 cm, located on the scalp, neck, hands, or feet. The process may involve techniques like surgery, laser, or cryotherapy. The aim is to eliminate the cancer cells and prevent further spread.

114 services87 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.

91 services91 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 17271

This procedure involves the removal of a small cancerous skin growth, between 0.6 to 1.0 cm, located on the scalp, neck, hands, or feet. The aim is to eliminate the cancerous cells and prevent their spread. The treatment is done in a safe, controlled environment.

80 services60 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

49 services36 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

24 services24 patients

Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm 17263

This procedure targets and eliminates a cancerous skin growth between 2.1 and 3.0 cm on your trunk, arms, or legs. It's done by applying specific treatments like heat, cold, or medicated creams to destroy the cancer cells, preventing them from spreading.

23 services16 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services16 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 17280

This is a procedure where a small cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth is removed. The growth is 0.5 cm or less. The aim is to eliminate the cancer and prevent it from spreading. It's a common, safe method to treat skin cancer.

18 services13 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less 17260

This procedure involves removing a small cancerous skin growth (0.5 cm or less) located on the trunk, arms, or legs. The growth is destroyed using techniques such as surgery, lasers, or radiation, aiding in the prevention of cancer spread.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

COLLIN DAVID ALLEN APN

Student in an Organized Health Care Education/Training Program

5401 N KNOXVILLE AVE
PEORIA, IL 61614

Peoria County (309) 691-1000

YIBING LI MD

Physical Medicine & Rehabilitation

5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614

Peoria County (309) 689-8888

PATTI L ALLY

Audiologist-Hearing Aid Fitter

5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614

Peoria County (309) 282-0887

PROCTOR HEALTH SYSTEMS

Clinic/Center (Medical Specialty)

5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614

Peoria County (309) 691-7800

MS. BARBARA J NALL APN

Nurse Practitioner (Women's Health)

5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614

Peoria County (309) 692-5100

SUSAN GWILLIM PT

Physical Therapist

5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614

Peoria County (309) 693-2244

MR. KEVIN M HENRY MD

Anesthesiology (Pain Medicine)

5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614

Peoria County (309) 692-7246

MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS

Nurse Practitioner (Family)

5401 N KNOXVILLE AVE
PEORIA, IL 61614

Peoria County (309) 691-1069

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 Christopher Kroodsma's NPI number?

The NPI number for Christopher Kroodsma is 1336230051. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Christopher Kroodsma located?

Christopher Kroodsma practices at 5401 N Knoxville Ave Suite 115, Peoria, IL 61614. The listed phone number is (309) 691-2903.

What is Christopher Kroodsma's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Christopher Kroodsma enrolled in Medicare?

Yes. Christopher Kroodsma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christopher Kroodsma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Kroodsma reassigns Medicare benefits to Central Illinois Dermatology, S.C. (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Kroodsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Christopher Kroodsma affiliated with any hospitals?

According to CMS data, Christopher Kroodsma is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Christopher Kroodsma was last updated on April 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.