DR. KRAIG ELMER LORENZEN MD, PH.D
NPI 1689048571
Radiology - Diagnostic Radiology in Roland, OK

Active since November 16, 2015Opted out of Medicare · through May 18, 2027
205 E RAY FINE BLVD SUITE 5, ROLAND, OK 74954(918) 503-6235(918) 503-6239 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2021, Nov 16, 2015 (2 updates tracked since 2015).

About Dr. Kraig Elmer Lorenzen Md, Ph.d NPPES

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

DR. KRAIG ELMER LORENZEN MD, PH.D (NPI 1689048571) is an individual diagnostic radiology provider in Roland, Oklahoma, licensed in California (G89146) and active in the NPI registry since November 2015. He has opted out of Medicare through May 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689048571
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KRAIG ELMER LORENZENCredential: MD, PH.D
Location Address205 E RAY FINE BLVD SUITE 5Roland, OK 74954
Mailing AddressPo Box 961Roland, OK 74954 · (918) 503-6235 · Fax (918) 503-6239
Fax(918) 503-6239
Sole ProprietorNo
Enumeration DateNovember 16, 2015
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1689048571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G89146
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
205 E RAY FINE BLVD SUITE 5, Roland, OK 74954

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kraig Elmer Lorenzen Md, Ph.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 May 18, 2017 through May 18, 2027.

Opt-Out Effective DateMay 18, 2017
Opt-Out In Effect ThroughMay 18, 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 74954 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 Kraig Lorenzen's NPI number?

The NPI number for Kraig Lorenzen is 1689048571. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Kraig Lorenzen located?

Kraig Lorenzen practices at 205 E Ray Fine Blvd Suite 5, Roland, OK 74954. The listed phone number is (918) 503-6235.

What is Kraig Lorenzen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kraig Lorenzen enrolled in Medicare?

No. Kraig Lorenzen has opted out of Medicare through May 18, 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.

When was this NPI record last updated?

The NPPES record for Kraig Lorenzen was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.