JOHN KROGER MD
NPI 1538131024
Family Medicine in Rumford, ME
About John Kroger Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN KROGER MD (NPI 1538131024) is an individual family medicine provider in Rumford, Maine, licensed in Maine (013593) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Baylor College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
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.
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
John Kroger Md 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
York Hospital
Acute Care Hospitals · York, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04276 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUMFORD, ME 04276
RUMFORD, ME 04276
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 John Kroger's NPI number?
The NPI number for John Kroger is 1538131024. It was assigned to this individual provider in the NPPES registry on February 7, 2006.
Where is John Kroger located?
John Kroger practices at 430 Franklin St, Rumford, ME 04276. The listed phone number is (207) 795-5709.
What is John Kroger's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Kroger enrolled in Medicare?
Yes. John Kroger 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 John Kroger accept?
Health plans from Anthem Blue Cross and Blue Shield list John Kroger 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 John Kroger affiliated with any hospitals?
According to CMS data, John Kroger is affiliated with York Hospital.
When was this NPI record last updated?
The NPPES record for John Kroger was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
