DR. JOY ANNE FAYE KROES M.D.
NPI 1346568136
Family Medicine in San Benito, TX

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment
351 N SAM HOUSTON BLVD, SAN BENITO, TX 78586(956) 247-7000(956) 399-6331 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2022, Aug 22, 2016 (2 updates tracked since 2016).

About Dr. Joy Anne Faye Kroes M.d. NPPES

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

DR. JOY ANNE FAYE KROES M.D. (NPI 1346568136) is an individual family medicine provider in San Benito, Texas, licensed in Texas (N5792) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346568136
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOY ANNE FAYE KROESCredential: M.D.
Location Address351 N SAM HOUSTON BLVDSan Benito, TX 78586-4656
Mailing Address502 S Closner BlvdEdinburg, TX 78539-4660 · (956) 468-2999 · Fax (956) 468-2997
Fax(956) 399-6331
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 4, 2010
Last NPPES UpdateSeptember 13, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
NPI 1346568136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N5792
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
351 N SAM HOUSTON BLVD, San Benito, TX 78586

Other Identifiers 1

OtherN5792TX · Texas Medical License

Accepted Insurance

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

Dr. Joy Anne Faye Kroes 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 ID9234309766
PECOS Enrollment IDI20110819000094
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 12

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 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.
181 services64 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.
66 services41 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services35 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
42 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
39 services35 patients

Hospital Affiliations CMS Care Compare

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78586 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers30 claims47 services$6.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims20 services$1.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$82.90 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$19.09 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$30.09 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586
Nurse Practitioner (Family)
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586
Family Medicine
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586
Internal Medicine
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586
Physician Assistant (Medical)
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586
Family Medicine
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586
Nurse Practitioner (Family)
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586
Nurse Practitioner (Family)
351 N SAM HOUSTON BLVD
SAN BENITO, TX 78586

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 Joy Kroes's NPI number?

The NPI number for Joy Kroes is 1346568136. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Joy Kroes located?

Joy Kroes practices at 351 N Sam Houston Blvd, San Benito, TX 78586. The listed phone number is (956) 247-7000.

What is Joy Kroes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joy Kroes enrolled in Medicare?

Yes. Joy Kroes 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.

What insurance does Joy Kroes accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Joy Kroes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joy Kroes affiliated with any hospitals?

According to CMS data, Joy Kroes is affiliated with Vhs Harlingen Hospital Company LLC.

When was this NPI record last updated?

The NPPES record for Joy Kroes was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.