DR. KENNETH JOHN TROXCLAIR DO
NPI 1902466436
Psychiatry & Neurology - Psychiatry in Mattoon, IL

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 258-2397(217) 258-2107 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2024, Sep 9, 2024, Jun 17, 2019 (3 updates tracked since 2019).

About Dr. Kenneth John Troxclair Do NPPES

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

DR. KENNETH JOHN TROXCLAIR DO (NPI 1902466436) is an individual psychiatry provider in Mattoon, Illinois, licensed in Illinois (036-171606) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1902466436
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KENNETH JOHN TROXCLAIRCredential: DO
Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644
Mailing AddressPo Box 372Mattoon, IL 61938-0372 · (217) 258-2581
Fax(217) 258-2107
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2019
Enumeration DateJune 17, 2019
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1902466436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in IL · 036-171606 Licensed in ND · 17887
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1000 HEALTH CENTER DR, Mattoon, IL 61938

Secondary Practice Locations 3

Location 1700 W Lincoln AveCharleston, IL 61920-2467 · Phone (217) 238-4042 · Fax (217) 238-4053
Location 21919 Elm St NFargo, ND 58102-2416 · Phone (701) 293-4113 · Fax (701) 293-4109
Location 3510 4th St SFargo, ND 58103-1914 · Phone (701) 476-7200

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

Dr. Kenneth John Troxclair Do 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 ID840686960
PECOS Enrollment IDI20220329002496, I20240919001843
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
201 services51 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
104 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
46 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services11 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
1000 HEALTH CENTER DR, PATHOLOGY DEPARTMENT
MATTOON, IL 61938
Internal Medicine (Hematology & Oncology)
1000 HEALTH CENTER DR, ONCOLOGY DEPARTMENT
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR, ANESTHESIA DEPARTMENT
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR, ANESTHESIOLOGY DEPARTMENT
MATTOON, IL 61938
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HEALTH CENTER DR, PATHOLOGY DEPARTMENT
MATTOON, IL 61938
Dietitian, Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Dietitian, Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Dietitian, Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938

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 Kenneth Troxclair's NPI number?

The NPI number for Kenneth Troxclair is 1902466436. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Kenneth Troxclair located?

Kenneth Troxclair practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 258-2397.

What is Kenneth Troxclair's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kenneth Troxclair enrolled in Medicare?

Yes. Kenneth Troxclair 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 Kenneth Troxclair accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kenneth Troxclair 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 Kenneth Troxclair affiliated with any hospitals?

According to CMS data, Kenneth Troxclair is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Kenneth Troxclair was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.