KEVIN J CROCE M.D.
NPI 1760600126
Radiology - Diagnostic Radiology in Corbin, KY

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1 TRILLIUM WAY, CORBIN, KY 40701(606) 523-8542(606) 523-8708 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2020, Mar 30, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Kevin J Croce M.d. NPPES

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

KEVIN J CROCE M.D. (NPI 1760600126) is an individual diagnostic radiology provider in Corbin, Kentucky, licensed in Kentucky (42537) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1760600126
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKEVIN J CROCECredential: M.D.
Location Address1 TRILLIUM WAYCorbin, KY 40701-8727
Mailing AddressPo Box 1325Corbin, KY 40702-1325 · (606) 526-8131 · Fax (606) 528-8661
Fax(606) 523-8708
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004
Enumeration DateApril 23, 2007
Last NPPES UpdateDecember 3, 20203 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1760600126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in KY · 42537
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedSpecialistTaxonomy 174400000X · License 42537 (KY)
1 TRILLIUM WAY, Corbin, KY 40701

Other Identifiers 1

Medicaid7100021270KY

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

Kevin J Croce M.d. 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 ID648371955
PECOS Enrollment IDI20070730000838
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.

Areas of Expertise CMS Part B claims 68

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
483 services371 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
185 services173 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
174 services159 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
159 services148 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
112 services106 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
112 services102 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
1 TRILLIUM WAY
CORBIN, KY 40701
Urology
1 TRILLIUM WAY, GROUND FLOOR ENTRANCE 5
CORBIN, KY 40701
Pharmacist
1 TRILLIUM WAY
CORBIN, KY 40701
Nurse Anesthetist, Certified Registered
1 TRILLIUM WAY
CORBIN, KY 40701
Internal Medicine (Hematology & Oncology)
1 TRILLIUM WAY, BAPTIST HEALTH CANCER CENTER
CORBIN, KY 40701
Emergency Medicine
1 TRILLIUM WAY
CORBIN, KY 40701
Physician Assistant (Medical)
1 TRILLIUM WAY
CORBIN, KY 40701
Social Worker (Clinical)
1 TRILLIUM WAY
CORBIN, KY 40701

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 Croce's NPI number?

The NPI number for Kevin Croce is 1760600126. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Kevin Croce located?

Kevin Croce practices at 1 Trillium Way, Corbin, KY 40701. The listed phone number is (606) 523-8542.

What is Kevin Croce's specialty?

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

Is Kevin Croce enrolled in Medicare?

Yes. Kevin Croce 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 Kevin Croce accept?

Health plans from CareSource list Kevin Croce 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 Kevin Croce affiliated with any hospitals?

According to CMS data, Kevin Croce is affiliated with Saint Joseph London, University Of Kentucky Hospital, Baptist Health Corbin, Lake Cumberland Regional Hospital and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Croce was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.