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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK A KROLL MD
NPI 1568494136
Ophthalmology in Bowling Green, KY

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
79.05/100
CMS Quality Rating
1403 ANDREA ST, BOWLING GREEN, KY 42104(270) 781-4909(270) 843-9678 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2026, Jun 8, 2020, Mar 13, 2017 (3 updates tracked since 2017).

About Mark A Kroll Md NPPES

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

MARK A KROLL MD (NPI 1568494136) is an individual ophthalmology provider in Bowling Green, Kentucky, licensed in Tennessee (41304) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glasgow, and is a graduate of Loma Linda University School Of Medicine (2002).

NPPES Registry Identity

NPI1568494136
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK A KROLLCredential: MD
Location Address1403 ANDREA STBowling Green, KY 42104-3335
Mailing Address3252 Aspen Grove Dr Ste 1Franklin, TN 37067-4894 · (615) 786-9044 · Fax (615) 771-7406
Phone(270) 781-4909
Fax(270) 843-9678
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2002
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1568494136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in TN · 41304✔ Licensed in KY · 48769
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1403 ANDREA ST, Bowling Green, KY 42104
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Secondary Practice Location 1

Location 1108 Bravo BlvdGlasgow, KY 42141-3412 · Phone (270) 651-2181 · Fax (270) 651-2183

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Mark A Kroll 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.

PECOS PAC ID6901908102
PECOS Enrollment IDI20070313000627
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

4

Medicare enrollment records show Mark Kroll reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarksville Ophthalmology P.C.
53 mi
Ophthalmology
141 CHESAPEAKE LANE, SUITE 300
Clarksville, TN 37040
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
NPI 1598746794 (931) 552-6830
Donelson Eyecare, PLLC
56 mi
Optometrist
2378 LEBANON PIKE
Nashville, TN 37214
  • Reassigned Medicare billing, Tennessee enrollment
  • 7 clinicians in this Medicare group
NPI 1548302854 (615) 889-0147
Vanderbilt University Medical Center
60 mi
Internal Medicine
1301 22ND AVE S
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 4,711 clinicians in this Medicare group
NPI 1104202761 (615) 936-2000
Cool Springs Eyecare, PLLC
73 mi
Optometrist
3252 ASPEN GROVE DRIVE, SUITE 1
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1104968817 (615) 771-7555

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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
493 services267 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
322 services266 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
173 services173 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
113 services61 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
97 services62 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
60 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

79.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost30.18

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
42%73 patients2/55-star benchmark: 87%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%665 patients
Diabetes: Eye Exam
100%98 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
95%22 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%41 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 443 patients
Patients totalRate: 0% · 443 patients
0%443 patients5/55-star benchmark: 100%
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

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers13 claims13 services$65.58 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA S HIGDON OD
Optometrist
1403 ANDREA ST
BOWLING GREEN, KY 42104
Warren County (270) 781-4909
DONNETA MCCANDLESS OPTICIAN
Technician/Technologist (Optician)
1403 ANDREA ST
BOWLING GREEN, KY 42104
Warren County (270) 651-2181
WILLIAM ALLAN PRICE OD
Optometrist
1403 ANDREA ST
BOWLING GREEN, KY 42104
Warren County (270) 651-2181

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 Mark Kroll's NPI number?

The NPI number for Mark Kroll is 1568494136. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Mark Kroll located?

Mark Kroll practices at 1403 Andrea St, Bowling Green, KY 42104. The listed phone number is (270) 781-4909.

What is Mark Kroll's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Kroll enrolled in Medicare?

Yes. Mark Kroll 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 Mark Kroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kroll reassigns Medicare benefits to 4 organizations: Clarksville Ophthalmology P.C. (Clarksville, TN), Donelson Eyecare, PLLC (Nashville, TN), Vanderbilt University Medical Center (Nashville, TN) and Cool Springs Eyecare, PLLC (Franklin, TN). 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 Mark Kroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Kroll accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Mark Kroll 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 Mark Kroll was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.