Quick answers
- Does Douglas A. Kruse accept Medicare assignment?
- Yes. Medicare's clinician data says Douglas A. Kruse accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Douglas A. Kruse see?
- In 2024, CMS data shows 185 Original Medicare patients and 580 services for Douglas A. Kruse. This counts Original Medicare only and measures volume, not quality.
- What is Douglas A. Kruse's NPI number?
- 1194830661. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Douglas A. Kruse, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 185 |
|---|---|
| Services billed to Medicare | 580 |
| Different services or procedures | 15 |
| Participating Medicare provider | Yes |
| Average age of these patients | 80 |
Most frequent services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)128 services
- Hospital discharge day management, more than 30 minutes (99239)124 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)93 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)67 services
- Nursing facility discharge management, more than 30 minutes (99316)46 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis61%
- Ischemic heart disease55%
- Chronic kidney disease52%
- Heart failure48%
Hospitals where Douglas A. Kruse works
Medicare's Facility Affiliation Data lists Douglas A. Kruse at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Carlinville Area HospitalCarlinville, IL · Critical Access Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 141347
- Hillsboro Area HospitalHillsboro, IL · Critical Access Hospital · Emergency services: listed by Medicare · CCN 141332
- Memorial Medical CenterSpringfield, IL · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 140148
- St Johns HospitalSpringfield, IL · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 140053
Practice locations
Addresses where Douglas A. Kruse is enrolled with Medicare (CMS data updated October 2, 2026).
- 1200 E Tremont StHillsboro, IL 62049 (217) 532‑6111
- 20733 N Broad StCarlinville, IL 62626 (217) 854‑3141
Group practices
Medicare enrollment lists Douglas A. Kruse as a member of these groups (CMS data updated October 2, 2026).
- Hillsboro Area Hospital, Inc.38 clinicians in the group
- Macoupin Physician Services, PC11 clinicians in the group
Specialties
- Hospitalistprimary
Other hospitalists in Illinois
Clinicians with the same Medicare primary specialty in Illinois — not a recommendation.
Other clinicians in Hillsboro Area Hospital, Inc.
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | University Of Illinois College Of Med (chi/peor/rock/chm-Urb) |
| Graduation year | 1995 (31 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1194830661 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians