1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Orthopaedic Surgery
  6. NPI Profile

KEVIN KARL KRUSE II M.D.
NPI 1508094137
Orthopaedic Surgery in Dallas, TX

Active since June 22, 2009Opted out of Medicare · through Jul 1, 2027
75/100
CMS Quality Rating
8210 WALNUT HILL LN, STE 130, DALLAS, TX 75231(214) 750-8112(214) 739-0529 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Karl Kruse Ii M.d. NPPES

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

KEVIN KARL KRUSE II M.D. (NPI 1508094137) is an individual orthopaedic surgery provider in Dallas, Texas, licensed in South Carolina (31718) and active in the NPI registry since June 2009. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1508094137
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN KARL KRUSE IICredential: M.D.
Location Address8210 WALNUT HILL LN, STE 130Dallas, TX 75231-4405
Mailing Address8210 Walnut Hill Ln, Ste 130Dallas, TX 75231-4405 · (214) 750-8112 · Fax (214) 739-0529
Phone(214) 750-8112
Fax(214) 739-0529
Sole ProprietorYes
Enumeration DateJune 22, 2009
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1508094137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in SC · 31718
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
8210 WALNUT HILL LN, Dallas, TX 75231
Open in Google Maps ↗

Secondary Practice Location 1

Location 16020 W Parker Rd Ste 240Plano, TX 75093-0004 · Phone (972) 378-1438 · Fax (972) 378-1432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Karl Kruse Ii M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
21%619 patients1/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers60 claims60 services$85.70 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers12 claims13 services$42.44 avg. paid by Medicare
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
2 suppliers25 claims25 services$635.60 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.

MICHAEL R ROSENTHAL MD
Psychiatry & Neurology (Psychiatry)
8210 WALNUT HILL LN, #619
DALLAS, TX 75231
Dallas County (214) 345-5630
RAJASHRI PATIL MD PA
Internal Medicine
8210 WALNUT HILL LN, BLDG 1 ,STE 306
DALLAS, TX 75231
Dallas County (214) 306-4030
MRS. COURTNEY WRIGHT NP-C
Nurse Practitioner (Family)
8210 WALNUT HILL LN, SUITE 615
DALLAS, TX 75231
Dallas County (214) 345-4160
PROFESSIONAL VASCULAR DIAGNOSTICS INC.
Clinic/Center
8210 WALNUT HILL LN, SUITE 907
DALLAS, TX 75231
Dallas County (214) 577-7012
PHILIP M BROWN MD
Anesthesiology
8210 WALNUT HILL LN, SUITE 905
DALLAS, TX 75231
Dallas County (214) 378-7605
JENNIFER FRIES LCSW
Psychiatry & Neurology (Psychiatry)
8210 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 345-7355
DR. HOWARD MARTIN MINTZ M.D.
Internal Medicine (Pulmonary Disease)
8210 WALNUT HILL LN, SUITE 314
DALLAS, TX 75231
Dallas County (214) 363-8447
DR. SHAMIM KHAMBATI M.D.
Internal Medicine
8210 WALNUT HILL LN, SUITE 230
DALLAS, TX 75231
Dallas County (972) 284-7000

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 Kruse's NPI number?

The NPI number for Kevin Kruse is 1508094137. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Kevin Kruse located?

Kevin Kruse practices at 8210 Walnut Hill Ln Ste 130, Dallas, TX 75231. The listed phone number is (214) 750-8112.

What is Kevin Kruse's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Kruse enrolled in Medicare?

No. Kevin Kruse has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kevin Kruse 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 3 other insurers list Kevin Kruse 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.

When was this NPI record last updated?

The NPPES record for Kevin Kruse was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.