Troy R Karlsson, MD - Medicare Orthopedic Surgery in Naperville, IL

Troy R Karlsson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Naperville, Illinois. He went to Columbia University College Of Physicians And Surgeons and graduated in 1988 and has 36 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Dupage Medical Group Ltd and his current practice location is 1259 Rickert Dr Ste 101, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 790-1872.

Troy R Karlsson is licensed to practice in Illinois (license number 036085872) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114913910.

Contact Information

Troy R Karlsson, MD
1259 Rickert Dr Ste 101,
Naperville, IL 60540-8904
(630) 790-1872
Not Available

Map and Direction




Physician's Profile

Full NameTroy R Karlsson
GenderMale
SpecialityOrthopedic Surgery
Experience36 Years
Location1259 Rickert Dr Ste 101, Naperville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Troy R Karlsson attended and graduated from Columbia University College Of Physicians And Surgeons in 1988
  NPI Data:
  • NPI Number: 1114913910
  • Provider Enumeration Date: 09/27/2005
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234028879
  • Enrollment ID: I20100914001232

Medical Identifiers

Medical identifiers for Troy R Karlsson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114913910NPI-NPPES
036085872MedicaidIL
200013547OtherILRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 036085872 (Illinois)Secondary
207X00000XOrthopaedic Surgery 036085872 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Residential Home HealthDowners grove, ILHome health agency
Edward HospitalNaperville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dupage Medical Group Ltd54966679411209

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Troy R Karlsson allows following entities to bill medicare on his behalf.
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Troy R Karlsson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Troy R Karlsson, MD
Po Box 713260,
Chicago, IL 60677-1260

Ph: (630) 469-9200
Troy R Karlsson, MD
1259 Rickert Dr Ste 101,
Naperville, IL 60540-8904

Ph: (630) 790-1872

Reviews and Comments


Orthopaedic Surgery Doctors in Naperville, IL

Ernest B. Lindell, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1259 Rickert Dr, Suite 101, Naperville, IL 60540
Phone: 630-355-1300    Fax: 630-355-3273
Dalip Pelinkovic, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1259 Rickert Dr, Suite 101, Naperville, IL 60540
Phone: 630-968-1881    
Islam Elboghdady, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 120 Spalding Dr Ste 400, Naperville, IL 60540
Phone: 630-967-2225    
Dr. Ryan Ridgway Sullivan, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1331 W 75th St Ste 101, Naperville, IL 60540
Phone: 630-527-3000    Fax: 630-548-1563
Dr. John Scot Player, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1315 Macom Dr Ste 7, Naperville, IL 60564
Phone: 630-851-1600    
Christina Cebulko, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 100 Spalding Dr Ste 300, Naperville, IL 60540
Phone: 630-790-1872    Fax: 630-355-2515

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.