Elion Krok, M.D.
NPI 1538468491 · Endocrinology, Diabetes & Metabolism Physician · West Orange, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elion Krok, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in West Orange, NJ (NPI 1538468491).
Provider details
- NPI number
- 1538468491
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08957000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,887 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 3,430 | $83 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 1,516 | $125 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 539 | $140 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 304 | $183 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 23 | $240 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 206 | 36 |
| Metformin Hclbrand: Metformin Hcl Er | 156 | 56 |
| Tirzepatidebrand: Mounjaro | 101 | 16 |
| Rosuvastatin Calcium | 65 | 19 |
| Amlodipine Besylate | 65 | 17 |
| Levothyroxine Sodium | 63 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$56 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-17
- Last updated
- 2023-02-27
- Certified
- 2023-02-27
Frequently asked questions
- What is Elion Krok's NPI number?
- Elion Krok's National Provider Identifier (NPI) is 1538468491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elion Krok's specialty?
- Elion Krok is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Elion Krok located?
- Elion Krok's practice location on file with NPPES is 993 Pleasant Valley Way, West Orange, NJ 07052-1801.
- What is Elion Krok's phone number?
- The practice phone number listed in the NPPES registry for Elion Krok is (973) 544-8901.
- Does Elion Krok accept Medicare?
- Elion Krok is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elion Krok's NPI active?
- Yes — Elion Krok's NPI (1538468491) is active in the NPPES registry as of the last update on 2023-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.