SPENCER D KROLL MD
NPI 1891738498
Internal Medicine in Morganville, NJ

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
25 KILMER DR, MORGANVILLE, NJ 07751(732) 591-8840(732) 591-2822 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spencer D Kroll Md NPPES

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

SPENCER D KROLL MD (NPI 1891738498) is an individual internal medicine provider in Morganville, New Jersey, licensed in New Jersey (MA71411) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of George Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1891738498
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSPENCER D KROLLCredential: MD
Location Address25 KILMER DRMorganville, NJ 07751-1564
Mailing Address25 Kilmer DrMorganville, NJ 07751-1564 · (732) 591-8840 · Fax (732) 591-2822
Fax(732) 591-2822
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1995
Enumeration DateJune 13, 2006
Last NPPES UpdateSeptember 19, 2007
NPI 1891738498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · MA71411
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25 KILMER DR, Morganville, NJ 07751

Other Identifiers 3

Medicare ID-Type Unspecified044660
Medicare PIN044660RNS
Medicare UPING84401

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

Spencer D 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 ID3173517513
PECOS Enrollment IDI20040409000262
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 24

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,858 services194 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,621 services533 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
665 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
453 services257 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
416 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
336 services336 patients

Hospital Affiliations CMS Care Compare 3

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07751 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%1,419 patients2/55-star benchmark: 97%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
70%91 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 377 patients
0%377 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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers45 claims113 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims29 services$1.02 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers15 claims64 services$5.18 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.35 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$2.38 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims325 services$0.21 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 13

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

Specialist
25 KILMER DR, SUITE 104
MORGANVILLE, NJ 07751
Pediatrics
25 KILMER DR
MORGANVILLE, NJ 07751
Clinic/Center (Physical Therapy)
25 KILMER DR, BLDG. 3, SUITE 109
MORGANVILLE, NJ 07751
Chiropractor
25 KILMER DR, BLDG 3-SUITE 101
MORGANVILLE, NJ 07751
Orthopaedic Surgery
25 KILMER DR, BUILDING 3, SUITE 104
MORGANVILLE, NJ 07751
Chiropractor
25 KILMER DR, BLDG. III-SUITE 101
MORGANVILLE, NJ 07751
Family Medicine
25 KILMER DR
MORGANVILLE, NJ 07751
Pediatrics
25 KILMER DR, STE 217
MORGANVILLE, NJ 07751

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 Spencer Kroll's NPI number?

The NPI number for Spencer Kroll is 1891738498. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Spencer Kroll located?

Spencer Kroll practices at 25 Kilmer Dr, Morganville, NJ 07751. The listed phone number is (732) 591-8840.

What is Spencer Kroll's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Spencer Kroll enrolled in Medicare?

Yes. Spencer 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.

Is Spencer Kroll affiliated with any hospitals?

According to CMS data, Spencer Kroll is affiliated with Raritan Bay Medical Center, Saint Peter's University Hospital and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Spencer Kroll was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.