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 Maine Medical Center, and is a graduate of Baylor College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show John Kroger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 77 clinicians in this Medicare group
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 clinicians in this Medicare group
York, ME 03909
- Reassigned Medicare billing, Maine enrollment
- 347 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEYork 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.
Which organizations bill Medicare for John Kroger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kroger reassigns Medicare benefits to 3 organizations: Rumford Community Family Health Center Inc. (Rumford, ME), Rumford Hospital (Rumford, ME) and York Hospital (York, ME). 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 John Kroger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 Maine Medical Center and 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 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.
# John Kroger, MD · NPI 1538131024
Family Medicine physician in Rumford, Maine. Individual provider, active in the CMS NPPES registry since February 7, 2006.
## Identity
- **NPI:** 1538131024 (Entity type: Individual)
- **Enumerated:** February 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 013593 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 430 FRANKLIN ST, Rumford, ME 04276-2104
- **Phone:** (207) 795-5709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rumford Community Family Health Center Inc. (NPI 1699967224, Rumford, ME); Rumford Hospital (NPI 1205991122, Rumford, ME); York Hospital (NPI 1376528398, York, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 1985
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538131024) · Data from the CMS NPPES public registry.