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MARKO F KRPAN DO
NPI 1992871347
Orthopaedic Surgery - Hand Surgery in Crystal Lake, IL

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
415 E CONGRESS PKWY STE A, CRYSTAL LAKE, IL 60014(815) 356-7494(815) 356-7541 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marko F Krpan Do NPPES

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

MARKO F KRPAN DO (NPI 1992871347) is an individual hand surgery provider in Crystal Lake, Illinois, licensed in Illinois (036-097251) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1992871347
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameMARKO F KRPANCredential: DO
Location Address415 E CONGRESS PKWY STE ACrystal Lake, IL 60014-6248
Mailing Address415 E Congress Pkwy Ste ACrystal Lake, IL 60014-6248 · (815) 356-7494 · Fax (815) 356-7541
Phone(815) 356-7494
Fax(815) 356-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 28, 2006
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1992871347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses✔ Licensed in IL · 036-097251✔ Licensed in WI · 38709
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
415 E CONGRESS PKWY STE A, Crystal Lake, IL 60014
Open in Google Maps ↗

Other Identifiers 4

OtherKRPANMARWI · Mercycare Insurance
Medicare UPING84317
Medicaid036097251 2IL
Medicare PIN214660L76783IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.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

Marko F Krpan 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 ID7113052358
PECOS Enrollment IDI20100312000956
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.

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.
182 services132 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.
56 services46 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
35 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
15 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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

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

DR. KRISHANTHI DILRUKSHI SENEVIRATNE MD
Family Medicine
415 E CONGRESS PKWY STE A
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-7494

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 Marko Krpan's NPI number?

The NPI number for Marko Krpan is 1992871347. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Marko Krpan located?

Marko Krpan practices at 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014. The listed phone number is (815) 356-7494.

What is Marko Krpan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Marko Krpan enrolled in Medicare?

Yes. Marko Krpan 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 Marko Krpan accept?

Health plans from MercyCare Health Plans list Marko Krpan 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 Marko Krpan affiliated with any hospitals?

According to CMS data, Marko Krpan is affiliated with Cgh Medical Center and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Marko Krpan was last updated on September 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.