DR. JOHN PAUL KRCMARIK M.D.
NPI 1932106531
Internal Medicine - Pulmonary Disease in Traverse City, MI

Q: What is John Krcmarik's NPI number?

The NPI number for John Krcmarik is 1932106531. It was assigned to this individual provider in the NPPES registry on June 29, 2005.

Q: What is John Krcmarik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for John Krcmarik was last updated on April 5, 2021. 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.

Active since June 29, 2005PECOS EnrolledAccepts Medicare Assignment

5087 N ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0440(231) 935-0445 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Mar 25, 2021, Oct 11, 2019 (3 updates tracked since 2019).

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About Dr. John Paul Krcmarik M.d. NPPES

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

DR. JOHN PAUL KRCMARIK M.D. (NPI 1932106531) is an individual pulmonary disease provider in Traverse City, Michigan, licensed in Michigan (4301081231) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Beaufort County Memorial Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1932106531

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JOHN PAUL KRCMARIKCredential: M.D.

Location Address5087 N ROYAL DRTraverse City, MI 49684-6987

Mailing Address5087 N Royal Dr Ste BTraverse City, MI 49684-6987 · (231) 935-0440 · Fax (231) 935-0445

Phone(231) 935-0440

Fax(231) 935-0445

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996

Enumeration DateJune 29, 2005

Last NPPES UpdateApril 5, 20213 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1932106531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MI · 4301081231

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301081231 (MI)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 4301081231 (MI)

5087 N ROYAL DR, Traverse City, MI 49684

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Other Identifiers 3

Other0B81008MI · Bcbs

Other290015455MI · Railroad Medicare

Medicaid4488322MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.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. John Paul Krcmarik 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 ID9638279151

PECOS Enrollment IDI20240207004340

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 13

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

166 services89 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.

127 services108 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

114 services114 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

114 services114 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

111 services111 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.

91 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 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.

67 services48 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

53 services53 patients

Test to determine lung volumes using sensors 94726

52 services52 patients

Test to examine how well the lungs exchange gases 94729

52 services52 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services26 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.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420101

Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

14 suppliers140 claims140 services$42.36 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers95 claims95 services$114.38 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

11 suppliers114 claims277 services$42.32 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

12 suppliers52 claims271 services$24.19 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers18 claims108 services$15.84 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

10 suppliers68 claims68 services$67.22 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

13 suppliers116 claims116 services$23.58 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers25 claims25 services$21.65 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

13 suppliers155 claims773 services$2.64 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

13 suppliers82 claims82 services$12.53 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers49 claims49 services$20.68 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$910.53 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers70 claims70 services$17.02 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier14 claims14 services$7.99 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

7 suppliers95 claims95 services$45.66 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers56 claims56 services$115.55 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$35.13 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers15 claims900 services$4.66 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers12 claims720 services$6.53 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers21 claims1,260 services$0.73 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims57,750 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers38 claims38 services$26.07 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 7

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

DR. CHARLES JOHN GWIZDALA M.D.

Internal Medicine (Pulmonary Disease)

5087 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0440

SHILOH TACKETT

Internal Medicine (Pulmonary Disease)

5087 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0440

HILLARY ANN LOOMIS-KING MD

Internal Medicine (Pulmonary Disease)

5087 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0440

DR. DANIEL MICHAEL NAVIN M.D.

Internal Medicine (Pulmonary Disease)

5087 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0440

DR. DEBORAH JO OCHS M.D.

Internal Medicine (Pulmonary Disease)

5087 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0440

PULMONARY AND CRITICAL CARE OF NORTHWEST MICHIGAN, P.C.

Internal Medicine (Pulmonary Disease)

5087 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0440

DR. CYNTHIA L GLINES M.D.

Internal Medicine (Critical Care Medicine)

5087 N ROYAL DR
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0440

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 John Krcmarik's NPI number?

The NPI number for John Krcmarik is 1932106531. It was assigned to this individual provider in the NPPES registry on June 29, 2005.

Where is John Krcmarik located?

John Krcmarik practices at 5087 N Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0440.

What is John Krcmarik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Krcmarik enrolled in Medicare?

Yes. John Krcmarik 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 John Krcmarik accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list John Krcmarik 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 John Krcmarik affiliated with any hospitals?

According to CMS data, John Krcmarik is affiliated with Beaufort County Memorial Hospital and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for John Krcmarik was last updated on April 5, 2021. 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.