John Kroger, MD
NPI 1538131024ActiveIndividual· Family Medicine· Rumford, ME
Family Medicine (MD) in Rumford, Maine, trained at Baylor College of Medicine (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $24,816 for 352 claims, against $129.19 paid for services in 2024.
Overview
| NPI | 1538131024 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 7, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 013593 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 56 across 8 procedure codes |
| Paid by Medicare | $129.19 |
Part D prescriptions in 2024
| Prescriptions (claims) | 352 · 470 30-day fills |
|---|---|
| Patients | 143 |
| Total drug cost | $24,816 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Family Practice |
Medical group
- York HospitalWells, ME · 198 clinicians
Hospital affiliations
- Mainehealth Maine Medical CenterPortland, ME
- York HospitalYork, ME
Other facilities
- Amedisys Home HealthHome health agency · Portsmouth, NH
- Elara CaringHome health agency · South Portland, ME
- York Hospital Home CareHome health agency · York, ME
- Beacon Hospice, An Amedisys CompanyHospice · So Portland, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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