DR. MARK KRAKAUER M.D.
NPI 1063655181
Ophthalmology in Allentown, PA

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment
99.02/100
CMS Quality Rating
1739 W FAIRMONT ST, ALLENTOWN, PA 18104(610) 437-4988(610) 437-4988 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Krakauer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK KRAKAUER M.D. (NPI 1063655181) is an individual ophthalmology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD451379) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2008).

NPPES Registry Identity

NPI1063655181
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK KRAKAUERCredential: M.D.
Location Address1739 W FAIRMONT STAllentown, PA 18104-3117
Mailing Address1739 W Fairmont StAllentown, PA 18104-3117 · (610) 437-4988 · Fax (610) 437-4988
Fax(610) 437-4988
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2008
Enumeration DateApril 20, 2009
Last NPPES UpdateOctober 15, 2015
NPI 1063655181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD451379
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1739 W FAIRMONT ST, Allentown, PA 18104

Other Identifiers 2

Medicaid1029425580002PA
Medicare PIN350946HUPPA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Krakauer M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022269240
PECOS Enrollment IDI20140701001105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services92 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
102 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services79 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
43 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.05
Improvement Activities40

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Optometrist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Optometrist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Ophthalmology
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Specialist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Ophthalmology
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Optometrist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Dentist (General Practice)
1739 W FAIRMONT ST
ALLENTOWN, PA 18104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Krakauer's NPI number?

The NPI number for Mark Krakauer is 1063655181. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Mark Krakauer located?

Mark Krakauer practices at 1739 W Fairmont St, Allentown, PA 18104. The listed phone number is (610) 437-4988.

What is Mark Krakauer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Krakauer enrolled in Medicare?

Yes. Mark Krakauer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Krakauer accept?

Health plans from Providence Health Plan list Mark Krakauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Krakauer affiliated with any hospitals?

According to CMS data, Mark Krakauer is affiliated with Temple Health - Chestnut Hill Hospital, Temple University Hospital and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Mark Krakauer was last updated on October 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.