1. Home
  2. Directory
  3. Illinois
  4. Mattoon
  5. Psychiatry Neurology
  6. NPI Profile

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: November 01, 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
Phone(217) 258-2397
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 HEALTH CENTER DR, Mattoon, IL 61938
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of North Dakota 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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenneth Troxclair reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center
Same address
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525
Psj Acquisition LLC
666 mi
Psychiatric Hospital
510 4TH ST S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 65 clinicians in this Medicare group
NPI 1679709802 (701) 476-7200

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 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.

DR. DOMINIC PERRINO D.O.
Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
VINCENT P CAGUNGUN RN
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4006
ELLIE BUENING OTR/L
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2530
DR. ALEXIS AYONOTE M.D.
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4155
MICHAEL JOHN ATKINSON MPAS, PA-C, ATC
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4960
JOHN ROGERS MD
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
JOSEPH BURTON D.O.
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2551
ROBERT BLOOD M.D.
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2440

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.

Which organizations bill Medicare for Kenneth Troxclair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Troxclair reassigns Medicare benefits to 2 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL) and Psj Acquisition LLC (Fargo, ND). 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 Kenneth Troxclair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Troxclair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of North Dakota 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.