NPPES file of Aug 9, 2026

Kevin J. Croce, M.D.

Diagnostic Radiology Physician · Corbin, KY

Kevin J. Croce, M.D. is a diagnostic radiology physician with a practice address in Corbin, Kentucky, and NPI 1760600126, issued on Apr 23, 2007. Check the license (Kentucky 42537, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1760600126
Name
Kevin J. Croce
Credential
M.D.
Primary taxonomy
Diagnostic Radiology Physician 2085R0202X
License number
42537 KY
Self-reported in NPPES; status is on the state search
Practice location
1 Trillium Way, Corbin, KY 40701
Phone
(606) 523-8542
Enumerated
Apr 23, 2007
Record last updated
Dec 3, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(606) 523-8708
Medicaid ID
7100021270 KY
Medicare enrollment
Enrolled (PECOS I20070730000838); accepts Medicare assignment
Medical or professional school
University Of Louisville School Of Medicine, 2004
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1 Trillium Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michael Abbott, LCSWClinical Social Worker1396955530
  2. Tiffany Adams, APRNNurse Practitioner1427556125
  3. Becky Allen, PMHNPPsychiatric/Mental Health Nurse Practitioner1386328193
  4. Erika Almodovar, MDSurgery Physician1528590882
  5. Debra AndersonClinical Social Worker1033329222
  6. Rebecca Bailey, LCSWClinical Social Worker1245037100

Verify Kevin J. Croce in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 42537
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

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73% fewer Medicare Part D claims than the average diagnostic radiology physician in 2024

14 Medicare Part D claims, against an average of 51 among the 2,711 providers of this specialty who prescribed in Part D.

  1. Kevin Croce14
  2. Specialty average51

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 95.5 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score89.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $28,750.00

5 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 8,048 providers of this specialty with any payment received $2,488.38 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kevin Croce$28,750
  2. Specialty average$2,488

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Baptist Health Medical Group IncCorbin, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kevin J. Croce among 477 diagnostic radiology physician records in Kentucky

Kevin J. Croce, M.D. is one of 477 diagnostic radiology physician records with a practice address in Kentucky. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 61% of them.

  • NPI issued2007 · 61% of these records are older, 29% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2004 · median 2000 among the 323 with a school on file
  • Record last updated2020 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Diagnostic Radiology Physician providers in Kentucky

There are 477 diagnostic radiology physician records in Kentucky.

The 8 diagnostic radiology physician records with the nearest ZIP codes

  1. Lonnie Bargo, M.D.Corbin, KY 407011306000591
  2. William Daniel, MDCorbin, KY 407011952487209
  3. Terri Daniel-Chumbley, M.D.Corbin, KY 407011619078490
  4. Harold Reedy, MDCorbin, KY 407011760583322
  5. Laura Simons, MDLondon, KY 407411174576078
  6. John Howard, M.D.Frankfort, KY 406011508846064
  7. George Hromyak, M.D.Frankfort, KY 406011932189669
  8. Gregory Tiu, M.D.Harlan, KY 408311467481788

Common questions

What is Kevin J. Croce, M.D.'s NPI number?

Kevin J. Croce, M.D.'s National Provider Identifier (NPI) is 1760600126, issued on Apr 23, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Kevin J. Croce, M.D. located?

The NPPES record lists a practice address at 1 Trillium Way, Corbin, KY, 40701. Phone: (606) 523-8542. Providers update this record themselves, so call before visiting.

How can I verify Kevin J. Croce, M.D.'s license?

NPPES lists Kentucky license number 42537, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kevin J. Croce, M.D. prescribe under Medicare Part D?

In 2024, Kevin J. Croce, M.D. had 14 Medicare Part D claims; the average among diagnostic radiology physician prescribers was 51. Part D covers Medicare prescriptions only.

What is Kevin J. Croce, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.