RICHARD K. KRAUSS MD
NPI 1124056395
Obstetrics & Gynecology - Gynecology in Philadelphia, PA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
800 WALNUT ST, 15TH FLOOR, PHILADELPHIA, PA 19107(215) 807-8000 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard K. Krauss Md NPPES

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

RICHARD K. KRAUSS MD (NPI 1124056395) is an individual gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD021724E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Hahnemann University College Of Medicine (1977).

NPPES Registry Identity

NPI1124056395
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameRICHARD K. KRAUSSCredential: MD
Location Address800 WALNUT ST, 15TH FLOORPhiladelphia, PA 19107-5176
Mailing Address800 Walnut St, 15th FloorPhiladelphia, PA 19107-5176 · (215) 807-8000
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1977
Enumeration DateJune 28, 2006
Last NPPES UpdateOctober 3, 2016
NPI 1124056395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in PA · MD021724E
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

800 WALNUT ST, Philadelphia, PA 19107

Other Identifiers 20

Other7316974PA · Cigna
Medicaid0018961710001PA
Other810345326PA · Phcs
Other063311PA · Highmark Blue Shield
Medicaid0018961710003PA
Other01896171-03PA · Americhoice Torresdale Di
Other1554780PA · United Healthcare
Other063311PA · Personal Choice
Other2807255PA · Aetna Ppo
Other2807255PA · Aetna Hmo
Other01896171-02PA · Americhoice Frankford Div
Medicare UPINC28668PA
Medicaid0018961710004PA
Other33630PA · Health Partners
Other0052786000PA · Keystone, Ibc
Other01896171-03PA · Americhoice
Other1164411PA · Keystone Mercy
Other160056129PA · Railroad Medicare
Medicaid0018961710002PA
Medicare PIN063311QRKPA

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

Richard K. Krauss Md 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 ID345432563
PECOS Enrollment IDI20101006000994
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
81 services81 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
59 services59 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.
24 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Advanced Practice Midwife
800 WALNUT ST, 14TH FLOOR
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
800 WALNUT ST, 20TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Pulmonary Disease)
800 WALNUT ST, 9TH FL
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
800 WALNUT ST, STE 239
PHILADELPHIA, PA 19107
Audiologist
800 WALNUT ST, 18TH FLOOR
PHILADELPHIA, PA 19107
Nurse Practitioner (Family)
800 WALNUT ST
PHILADELPHIA, PA 19107
Internal Medicine
800 WALNUT ST, 17TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine
800 WALNUT ST, 16TH FLOOR
PHILADELPHIA, PA 19107

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 Richard Krauss's NPI number?

The NPI number for Richard Krauss is 1124056395. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Richard Krauss located?

Richard Krauss practices at 800 Walnut St 15th Floor, Philadelphia, PA 19107. The listed phone number is (215) 807-8000.

What is Richard Krauss's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Richard Krauss enrolled in Medicare?

Yes. Richard Krauss 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 Richard Krauss accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Richard Krauss 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 Richard Krauss affiliated with any hospitals?

According to CMS data, Richard Krauss is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Chester County Hospital and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Richard Krauss was last updated on October 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.