VIRGINIA KRAUS NPI 1013091172
Internal Medicine - Rheumatology in Durham, NC

About VIRGINIA KRAUS

Virginia Kraus is an internist established in Durham, North Carolina and her medical specialization is Internal Medicine with a focus in rheumatology with more than 41 years of experience. She graduated from Duke University School Of Medicine in 1982. The NPI number of Virginia Kraus is 1013091172 and was assigned on October 2006. The practitioner's primary taxonomy code is 207RR0500X with license number 29315 (NC). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1013091172
Provider Name VIRGINIA KRAUS
Location Address2100 ERWIN RD DURHAM, NC 27710
Location Phone(919) 620-4467
Mailing Address2100 ERWIN RD DUKE UNIVERSITY MEDICAL CENTER - DUMC 3416 DURHAM, NC 27710
GenderFemale
NPI Entity TypeIndividual
Medical School NameDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1982
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date03-22-2013

An internist like Virginia Kraus is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Virginia Kraus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Virginia Kraus is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.67 for a new patient copayment and $25.2 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RR0500X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationRheumatology
License No.29315
License StateNC
Taxonomy DescriptionAn internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

VIRGINIA KRAUS
2100 ERWIN RD
DURHAM, NC
ZIP 27710
Phone: (919) 620-4467

Get Directions


Mailing Address

VIRGINIA KRAUS
2100 ERWIN RD
DUKE UNIVERSITY MEDICAL CENTER - DUMC 3416
DURHAM, NC
ZIP 27710
Phone:


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6608043336
PECOS Enrollment IDI20120120000831
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 27710 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.51 $172.65 $130.68
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.12 $43.16 $32.67
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.43 $140.98 $100.83
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.35 $35.24 $25.2

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
207982AMEDICARE ID-TYPE UNSPECIFIED (04)NC
C84994MEDICARE ID-TYPE UNSPECIFIED (04)
7950309MEDICARE ID-TYPE UNSPECIFIED (04)NC

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013091172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023092114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 1 + 1 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013091172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326048760DR. DONALD T ELLIS II MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1568459477 JOHN MIGALY MD
Individual
Surgery2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1932181039DR. DAVID GUY KIRSCH MD
Individual
Radiology (Radiation Oncology)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1861476848 SHASHI KUMAR NAGARAJ MD
Individual
Pediatrics (Pediatric Nephrology)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1033182407 SANDESH DEV MD
Individual
Internal Medicine (Cardiovascular Disease)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1255304341 JULIE KAY MAROSKY THACKER M.D.
Individual
Colon & Rectal Surgery2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1689642118 TANYA ALANE ARBOGAST PAC
Individual
Physician Assistant2100 ERWIN RD
DURHAM, NC 27710
(919) 684-0245
1770546772 CHARLES EDMOND MURPHY JR. M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1902856651 DEBRA L SUDAN MD
Individual
Transplant Surgery2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1023065612DR. SCOTT COUSINS MD
Individual
Ophthalmology2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1801843537 CLARE A PIPKIN MD
Individual
Dermatology2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1871531624 RANDALL PAUL SCHERI M.D.
Individual
Surgery (Surgical Oncology)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1669411708 ADAM COLEMAN PA
Individual
Physician Assistant2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1215971742 EDWARD F HENDERSHOT MD
Individual
Internal Medicine (Infectious Disease)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1578507125 HEATHER S MCLEAN MD
Individual
Pediatrics2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1366471575 JESSICA MULLER SUN MD
Individual
Pediatrics (Pediatric Hematology-Oncology)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1376575746 DAVID MICHAEL GALLAGHER MD
Individual
Internal Medicine2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1093740052 AFSHIN FARZANEH-FAR M.D.
Individual
Internal Medicine (Cardiovascular Disease)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1578583779 DAN GERMAN BLAZER III M.D.
Individual
Surgery (Surgical Oncology)2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111
1265454136 PURNIMA T. VALDEZ M.D.
Individual
Pediatrics2100 ERWIN RD
DURHAM, NC 27710
(919) 684-8111

Frequently Asked Questions

What is Virginia Kraus NPI number?

The NPI number assigned to Virginia Kraus is 1013091172, registered as an "individual" on October 25, 2006

Where is Virginia Kraus located?

The provider is located at 2100 Erwin Rd Durham, Nc 27710 and the phone number is (919) 620-4467

Which is Virginia Kraus specialty?

The provider's speciality is Internal Medicine with a focus in Rheumatology

How many years of experience does Virginia Kraus have?

The provider has more than 41 years of experience. She graduated from Duke University School Of Medicine in 1982.

What insurance does Virginia Kraus accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Virginia Kraus registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Virginia Kraus ?

Medicare beneficiaries should expect a typical cost of $130.68 with an average copayment of $32.67 for new patient appointments. Established patients should expect a typical charge of $100.83 and an average copayment of 25.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Virginia Kraus was last updated on October 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]