DR. KEVIN JAMES CROCE MD, PHD
NPI 1417983172
Internal Medicine - Cardiovascular Disease in Chestnut Hill, MA

Q: What is Kevin Croce's NPI number?

The NPI number for Kevin Croce is 1417983172. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Kevin Croce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Croce was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment

16 PAYSON RD, CHESTNUT HILL, MA 02467(617) 730-5686(617) 730-5686 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Sep 28, 2018 (2 updates tracked since 2018).

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About Dr. Kevin James Croce Md, Phd NPPES

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

DR. KEVIN JAMES CROCE MD, PHD (NPI 1417983172) is an individual cardiovascular disease provider in Chestnut Hill, Massachusetts, licensed in Massachusetts (220516) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1417983172

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KEVIN JAMES CROCECredential: MD, PHD

Location Address16 PAYSON RDChestnut Hill, MA 02467-3217

Mailing Address375 Boylston StBrookline, MA 02445-6007 · (857) 307-0896 · Fax (857) 307-0899

Phone(617) 730-5686

Fax(617) 730-5686

Sole ProprietorYes

Medical School CMSTufts University School Of MedicineGraduated 2001

Enumeration DateJune 24, 2006

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1417983172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MA · 220516

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

16 PAYSON RD, Chestnut Hill, MA 02467

Open in Google Maps ↗

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin James Croce Md, Phd 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 ID8820061575

PECOS Enrollment IDI20040819000599

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 Reassignments

Medicare enrollment records show Kevin Croce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brigham & Womens Physicians Organization Inc

3.1 mi

Internal Medicine

75 FRANCIS ST
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
4,574 clinicians in this Medicare group

NPI 1033535497 (617) 732-5500

Trinity Health Of New England Provider Network Organization Inc

88 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

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 16

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.

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

92 services79 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

62 services41 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

45 services41 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

37 services35 patients

Removal of plaque, insertion of stent and/or balloon dilation of single coronary artery, branch or bypass graft 92943

This procedure helps improve blood flow in your heart. Plaque, a substance blocking your artery, is removed. Then, a stent (small tube) may be inserted to keep the artery open. Alternatively, a balloon may be inflated to widen the artery. This can be done in a single artery, branch, or bypass graft.

36 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services28 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel 92979

This procedure involves using ultrasound technology to evaluate the condition of your heart's blood vessels or graft. A radiologist reviews the images to check for any abnormalities. If additional vessels need to be examined, the process is repeated.

25 services22 patients

Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch 92933

This procedure involves clearing a blockage in your heart's artery. First, the doctor removes plaque that's clogging the artery. Next, a small tube called a stent is inserted to keep the artery open. Lastly, a balloon is inflated inside the artery to widen it, allowing better blood flow.

22 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services15 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

20 services20 patients

Insertion of tube in bypass graft for diagnosis with review by radiologist 93455

This procedure involves placing a small tube into a bypass graft, which is a vessel used to reroute blood flow. A radiologist, a doctor who specializes in medical imaging, then reviews the images taken to help diagnose any potential issues.

19 services18 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

17 services17 patients

Insertion of radiation delivery device into heart artery 92974

This procedure involves placing a device into a heart artery to deliver radiation. It helps treat certain heart conditions by reducing abnormal tissue growth. The device is inserted through a small incision, directed to the heart with imaging technology.

15 services12 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

15 services13 patients

Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access 33990

This procedure involves placing a device in the lower heart chamber to aid blood flow. Access is gained through the skin and an artery, guided by a radiologist's review. The device helps your heart pump blood more effectively.

14 services13 patients

Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456

This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220090

Location14 Prospect StreetMilford, MA 01757 · Worcester County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02467 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

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 Kevin Croce's NPI number?

The NPI number for Kevin Croce is 1417983172. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Kevin Croce located?

Kevin Croce practices at 16 Payson Rd, Chestnut Hill, MA 02467. The listed phone number is (617) 730-5686.

What is Kevin Croce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kevin Croce enrolled in Medicare?

Yes. Kevin Croce 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.

Which organizations bill Medicare for Kevin Croce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Croce reassigns Medicare benefits to 2 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each 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 Kevin Croce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Croce accept?

Health plans from Taro Health list Kevin Croce 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 Kevin Croce affiliated with any hospitals?

According to CMS data, Kevin Croce is affiliated with Milford Regional Medical Center and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Croce was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.